# SAMARITAN DIALYSIS DME, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295856920
- **Authorized official:** RONALD S STEVENS (VP FINANCE TREASURER)
- **Authorized official phone:** (541) 768-5004

## Contact information

- **Practice address:** 8125 W GRAND AVE, STE LL, LAKEWOOD, CO 80123-1206
- **Practice address phone:** (930) 393-2962
- **Practice address fax:** (303) 972-9077
- **Mailing address:** 8125 W GRAND AVE, STE LL, LAKEWOOD, CO 80123-1206
- **Mailing address phone:** (930) 393-2962
- **Mailing address fax:** (303) 972-9077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | 4193950 | CO | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 05/07/2010