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TILLAMOOK KIDNEY CENTER LLC
NPI 1952129470
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Tillamook, OR

Active since October 02, 2024CLIA 38D2314358 · Waiver
1000 3RD ST, TILLAMOOK, OR 97141(816) 509-8559(816) 241-4468 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tillamook Kidney Center Llc NPPES

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

TILLAMOOK KIDNEY CENTER LLC (NPI 1952129470) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Tillamook, Oregon and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through November 18, 2026 and lists Donovan Schultz, President, as its authorized official.

NPPES Registry Identity

NPI1952129470
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTILLAMOOK KIDNEY CENTER LLC
Location Address1000 3RD STTillamook, OR 97141-3430
Mailing Address1633 Church St Ste 500Nashville, TN 37203-2948 · (615) 327-3061 · Fax (615) 963-9730
Phone(816) 509-8559
Fax(816) 241-4468
Organization SubpartNo
Authorized OfficialDonovan SchultzPresident · (615) 327-3061
Enumeration DateOctober 2, 2024
NPPES CertifiedOctober 2, 2024
✔ NPI 1952129470 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
1000 3RD ST, Tillamook, OR 97141
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Providence Health Plan, UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2314358

Tillamook Kidney Center · Tillamook, OR
Active · expires Nov 18, 2026
CLIA Number38D2314358
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorNicole Kemper
Laboratory Phone(816) 509-8559
Laboratory LocationTillamook Kidney Center1000 3rd St, Tillamook, OR 97141
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

CURTIS R NERNESS MD
Internal Medicine
1000 3RD ST
TILLAMOOK, OR 97141
Tillamook County (702) 453-3799
MRS. KATHLEEN YVONNE SAUNDERS MS, MPH, RD, LD
Dietitian, Registered
1000 3RD ST
TILLAMOOK, OR 97141
Tillamook County (503) 815-2443
NANCY MICHELLE INFORZATO M.D.
Internal Medicine
1000 3RD ST
TILLAMOOK, OR 97141
Tillamook County (503) 842-4444
GALEN INPATIENT PHYSICIANS PC
Hospitalist
1000 3RD ST
TILLAMOOK, OR 97141
Tillamook County (503) 842-4444
DR. GENE MCCOLGIN M.D.
Emergency Medicine
1000 3RD ST
TILLAMOOK, OR 97141
Tillamook County (503) 842-4444
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
General Acute Care Hospital (Critical Access)
1000 3RD ST
TILLAMOOK, OR 97141
Tillamook County (503) 842-4444
GREGORY J OPDAHL MD
Anesthesiology
1000 3RD ST
TILLAMOOK, OR 97141
Tillamook County (360) 556-2600
MRS. JANICE CAROL WOLK RD, CDE
Dietitian, Registered
1000 3RD ST
TILLAMOOK, OR 97141
Tillamook County (503) 815-2287

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 Tillamook Kidney Center LLC's NPI number?

The NPI number for Tillamook Kidney Center LLC is 1952129470. It was assigned to this organization in the NPPES registry on October 2, 2024.

Where is Tillamook Kidney Center LLC located?

Tillamook Kidney Center LLC is located at 1000 3rd St, Tillamook, OR 97141. The listed phone number is (816) 509-8559.

What is Tillamook Kidney Center LLC's specialty?

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

Does Tillamook Kidney Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2314358) is associated with this NPI, valid through November 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tillamook Kidney Center LLC accept?

Health plans from Ambetter from Arizona Complete Health, Providence Health Plan and UnitedHealthcare list Tillamook Kidney Center LLC 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 Tillamook Kidney Center LLC was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.