OrganizationActive
Fayetteville Dialysis
NPI 1811315971 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Tacoma, WA
Provider details
- NPI number
- 1811315971
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kent Thiry, Ceo(303) 876-6000
- License
- 1295913416 (AR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
1423 Pacific Ave
Tacoma, WA 98402-4203
Phone: (253) 382-1752
Approximate (ZIP-level) locationGet directions
Mailing address
509 E Millsap Rd
Fayetteville, AR 72703-4067
Registry dates
- Enumerated
- 2014-04-04
- Last updated
- 2014-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.