Organization
SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC
Active
Other names
Mountain Vista Dialysis Center of Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
10238 E HAMPTON AVE, STE 108, MESA, AZ 85209-3317
(480) 357-8009
(480) 357-0372
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-4509
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417208
—
AZ
Enumeration date
12/17/2007
Last updated
03/19/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us