SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC NPI 1013190792

NPI Information

  • NPI: 1013190792
  • Provider Name: SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: PHOENIX DIALYSIS CENTER
  • Address: 337 E CORONADO RD
    STE 101
    PHOENIX, AZ
    ZIP 85004
  • Phone: (602) 253-9006

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NPI Details

SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC is an end-stage renal disease (esrd) treatment clinic center in Phoenix, AZ. SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC NPI is 1013190792. The provider is registered as an organization entity type.
The provider Is Doing Business As Phoenix Dialysis Center.

The provider's business location address is:

337 E CORONADO RD
STE 101
PHOENIX, AZ
ZIP 85004-582
Phone: (602) 253-9006
Fax: (602) 253-9465

The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The enumeration date for this NPI number is 12/17/2007 and was last updated on 4/25/2023.

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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentOTC-4430ARIZONAYes

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
1361281MEDICAIDARIZONA

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: 3/30/2025

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