Organization
SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC
Active
Other names
Phoenix Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
337 E CORONADO RD, STE 101, PHOENIX, AZ 85004-1582
(602) 253-9006
(602) 253-9465
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
OTC-4430
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361281
—
AZ
Enumeration date
12/17/2007
Last updated
03/24/2026
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