Organization
STEARNS DIALYSIS LLC
Active
Other names
Fort Collins Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1601 PROSPECT PKWY STE 180, FORT COLLINS, CO 80525-1076
(970) 493-0753
(970) 407-7230
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
12L198
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033593728
—
CO
Enumeration date
07/13/2015
Last updated
07/24/2024
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