Organization
SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC
Active
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
05/20/2026
Update your record
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