KIDNEY CENTER OF LAFAYETTE LLC NPI 1861681132

NPI Information

NPI: 1861681132
Provider Name: KIDNEY CENTER OF LAFAYETTE LLC

Doing Business As: KIDNEY CENTER OF LAFAYETTE

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2655 CRESCENT DRIVE
SUITE C
LAFAYETTE, CO
ZIP 80026
Phone: (720) 890-4661
Get Directions

KIDNEY CENTER OF LAFAYETTE LLC is an end-stage renal disease (esrd) treatment clinic center in Lafayette, CO. KIDNEY CENTER OF LAFAYETTE LLC NPI is 1861681132. The provider is registered as an organization entity type.
The provider Is Doing Business As Kidney Center Of Lafayette.

The provider's business location address is:

2655 CRESCENT DRIVE
SUITE C
LAFAYETTE, CO
ZIP 80026-373
Phone: (720) 890-4661
Fax: (720) 890-4662

The provider's authorized official is Sara Anne Brady .
The authorized official title is Chief Nursing Officer and has the following contact phone number (208) 371-7878.

The CLIA number assigned to this NPI record is 06D1085116 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2007 and was last updated on 1/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	24657859	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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