SOUTHWEST KIDNEY DIALYSIS LLC NPI 1518973932

NPI Information

NPI: 1518973932
Provider Name: SOUTHWEST KIDNEY DIALYSIS, LLC

Doing Business As: SOUTHWEST KIDNEY DIALYSIS - ESTRELLA

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
8410 W THOMAS ROAD
BUILDING 1, SUITE 100
PHOENIX, AZ
ZIP 85037
Phone: (480) 610-6118
Get Directions

SOUTHWEST KIDNEY DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Phoenix, AZ. SOUTHWEST KIDNEY DIALYSIS, LLC NPI is 1518973932. The provider is registered as an organization entity type.
The provider Is Doing Business As Southwest Kidney Dialysis - Estrella.

The provider's business location address is:

8410 W THOMAS ROAD
BUILDING 1, SUITE 100
PHOENIX, AZ
ZIP 85037-494
Phone: (480) 610-6118
Fax: (480) 610-6195

The provider's authorized official is Michelle R. Mauvais .
The authorized official title is Cheif Financial Officer and has the following contact phone number (480) 610-6110.

The CLIA number assigned to this NPI record is 03D1057554 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 7/26/2007.

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		ARIZONA	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	032612	OTHER	ARIZONA	MEDICARE

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

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