Organization
PACIFIC NORTHWEST RENAL SERVICES, L.L.C.
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
FRESENIUS KIDNEY CARE FORT VANCOUVER
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
BARRY L. BLANTON (VICE PRESIDENT)
(781) 699-9000
Entity
Organization
Contact information
Practice address
13118 NE 4TH ST, VANCOUVER, WA 98684-5809
(360) 254-2323
(360) 254-8289
Mailing address
13118 NE 4TH ST, VANCOUVER, WA 98684-5809
(360) 254-2323
(360) 254-8289
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
—
50-2522
PTAN
WA
Enumeration date
08/31/2006
Last updated
10/23/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us