Organization
SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS, LLC
Active
Organization
SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS, LLC
Active
Other names
Fountain Hills 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
13430 N SAGUARO BLVD, BLDG 3, FOUNTAIN HILLS, AZ 85268-3728
(480) 816-5973
(480) 816-5767
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142725
—
AZ
Enumeration date
08/10/2015
Last updated
12/11/2025
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