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Organization

NORTHWEST KIDNEY CENTERS

Active
Parent organization
NORTHWEST KIDNEY CENTERS
Other names
Seattle Kidney Center, Yesler Terrace Kidney Center, Northwest Kidney Centers dba Yesler Terrace Kidney Center, NKC Yesler Terrace Kidney Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTHWEST KIDNEY CENTERS
Authorized official
JENNIFER ESLAVA (CHIEF FINANCIAL OFFICER)
(206) 292-2771
Entity
Organization

Contact information

Practice address
715 ALDER ST, SEATTLE, WA 98104-2423
(206) 720-3940
(206) 720-3945
Mailing address
12901 20TH AVE S, SEATAC, WA 98168-5159
(206) 292-2771
(206) 901-8724

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0251
REGENCE BLUE SHIELD
WA
05
1043799
WA
01
171
PREMERA BLUE CROSS
WA
Enumeration date
06/01/2005
Last updated
04/04/2025
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