institution
Bentonville Dialysis
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tacoma, Washington
NPI 1639597628

Bentonville Dialysis is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Bentonville, WA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Bentonville Dialysis practices in Tacoma, WA. The NPI Number for Bentonville Dialysis is 1639597628 and holds a License No. 04D0922944 (Washington).

The current practice location address for Bentonville Dialysis is 1423 Pacific Ave, Tacoma, WA and can be reached out via phone at 253-382-1752.

Location: 1423 Pacific Ave, Tacoma, WA, 72712-4290
institution
Provider Profile Details
NPI Number
1639597628
Provider Name
Bentonville Dialysis
Credential
Provider Entity Type
Organization
Address
1423 Pacific Ave, Tacoma, WA, 72712-4290
Phone Number
253-382-1752
Fax Number
Provider Enumeration Date
04/07/2014
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
168262134 05 AR
institution
Provider Business Practice Location Address Details
Address
1423 Pacific Ave
City
State
Zip
98402-4203
Phone Number
253-382-1752
Fax Number
person
Provider Business Mailing Address Details
Address
1423 Pacific Ave
City
State
Zip
98402-4203
Phone Number
253-382-1752
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
04D0922944 (Arkansas)
Definition
Definition to come...
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