| Northwest Renal Services Inc | |
|
801 W 5th Ave Suite #323 Spokane WA 99204-2823 | |
| (509) 744-1500 | |
| (509) 626-5460 |
| Full Name | Northwest Renal Services Inc |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 801 W 5th Ave, Spokane, Washington |
| Authorized Official Name and Position | Leo Eugene Obermiller (PRESIDENT) |
| Authorized Official Contact | 5097441500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Renal Services Inc 801 W 5th Ave Suite #323 Spokane WA 99204-2823 Ph: (509) 744-1500 | Northwest Renal Services Inc 801 W 5th Ave Suite #323 Spokane WA 99204-2823 Ph: (509) 744-1500 |
| NPI Number | 1629291273 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 01/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629291273 | NPI | - | NPPES |
| 010100010060 | Other | REGENCE BLUE SHIELD OF ID | |
| 7098122 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 601983029 (Washington) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 601983029 (Washington) | Primary |
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