PSKC - SOUTH
NPI 1093835811
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Mountlake Terrace, WA

Active since March 29, 2007
5/5
Overall Rating
21309 44TH AVE W, MOUNTLAKE TERRACE, WA 98043(425) 744-1095(425) 775-1144 Get Directions Write a Review

NPPES record last updated: February 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pskc - South NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PSKC - SOUTH (NPI 1093835811) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Mountlake Terrace, Washington and active in the NPI registry since March 2007. The organization lists Harold S Kelly, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1093835811
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NamePUGET SOUND KIDNEY CENTERS
Location Address21309 44TH AVE WMountlake Terrace, WA 98043-3507
Mailing Address1005 Pacific AveEverett, WA 98201-4148 · (425) 259-5195 · Fax (425) 259-4890
Fax(425) 775-1144
Organization SubpartNo
Authorized OfficialHarold S KellyPresident & Ceo · (425) 259-5195
Enumeration DateMarch 29, 2007
Last NPPES UpdateFebruary 5, 2008
NPI 1093835811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
21309 44TH AVE W, Mountlake Terrace, WA 98043

Other Names 1

Doing Business AsPskc - South

Other Identifiers 2

Medicaid3144805WA
Medicare ID-Type Unspecified50-2521WA · Kidney Dialysis Center

Accepted Insurance

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Puget Sound Kc South (CMS certification number 502521), from CMS Care Compare.

Puget Sound Kc South

Dialysis facility · Mountlake Terrace, WA
5/5 CMS RatingRating period January 2020 to December 2023
OwnershipNon-profit
ChainPuget Sound Kidney Centers
CMS Certification Number502521
ESRD NetworkNetwork 16
Hemodialysis Stations32
Medicare-Certified SinceAugust 6, 1997
Location21309 44TH AVE WMountlake Terrace, WA 98043 · Snohomish County
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training Evening shifts (after 5 PM)

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered (Nutrition, Renal)
21309 44TH AVE W
MOUNTLAKE TERRACE, WA 98043
Dietitian, Registered
21309 44TH AVE W
MOUNTLAKE TERRACE, WA 98043
Dietitian, Registered (Nutrition, Renal)
21309 44TH AVE W
MOUNTLAKE TERRACE, WA 98043

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Puget Sound Kidney Centers's NPI number?

The NPI number for Puget Sound Kidney Centers is 1093835811. It was assigned to this organization in the NPPES registry on March 29, 2007. The provider is doing business as Pskc - South.

Where is Puget Sound Kidney Centers located?

Puget Sound Kidney Centers is located at 21309 44th Ave W, Mountlake Terrace, WA 98043. The listed phone number is (425) 744-1095.

What is Puget Sound Kidney Centers's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Is Puget Sound Kidney Centers a Medicare-certified dialysis facility?

Yes. Puget Sound Kc South is a Medicare-certified dialysis facility, certified since August 6, 1997.

What quality rating does Puget Sound Kidney Centers have?

CMS rates Puget Sound Kc South 5 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Puget Sound Kidney Centers accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Puget Sound Kidney Centers as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Puget Sound Kidney Centers was last updated on February 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.