Organization
KINGSTON DIALYSIS LLC
Active
Other names
Thornton 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
8800 FOX DR, THORNTON, CO 80260
(303) 430-7020
(303) 487-9572
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
120406
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120406
STATE LICENSE
CO
05
—
1386012268
—
CO
Enumeration date
09/09/2015
Last updated
12/05/2024
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