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Contact Information

PACIFIC MEDICAL DIALYSIS SERVICES
3020 S UNION AVE
TACOMA, WA98409-3317
 Phone: 253-310-2236
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

Dialysis Equipment & Supplies

332BD1200X 87 All Other Suppliers
 

Dialysis, Peritoneal

163WD1100X
 

Hemodialysis

163WH0500X
 

Renal Dialysis

2472R0900X 75 Slide Preparation Facility
Indicates primary specialty

NPI Profile & details for PACIFIC MEDICAL DIALYSIS SERVICES

NPI # 1285406249
LBN Legal business name PACIFIC MEDICAL DIALYSIS SERVICES
Authorized official CHARLES MINN - (MD)
Entity Organization
Organization subpart 1 No
Enumeration date 10/24/2023
Last updated 11/10/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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