Organization · Type 2 NPI

Bentonville Dialysis

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Tacoma, WA

NPI number 1639597628 Active

Practice location

1423 Pacific Ave
Tacoma, WA 98402-4203

Call (253) 382-1752 Map

Mailing address

1104 SE 30th St
Bentonville, AR 72712-4290

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700X04D0922944 (AR)
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X1306024294 (AR)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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About NPI 1639597628

Bentonville Dialysis's National Provider Identifier is 1639597628, issued on Apr 7, 2014. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Tacoma, WA. The record was last updated on Apr 7, 2014.