Organization
SAMARITAN DIALYSIS DME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD S STEVENS (VP FINANCE TREASURER)
(541) 768-5004
Entity
Organization
Contact information
Practice address
8125 W GRAND AVE, STE LL, LAKEWOOD, CO 80123-1206
(930) 393-2962
(303) 972-9077
Mailing address
8125 W GRAND AVE, STE LL, LAKEWOOD, CO 80123-1206
(930) 393-2962
(303) 972-9077
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
4193950
CO
Other
Enumeration date
04/02/2007
Last updated
05/07/2010
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