Organization
CASWELL DIALYSIS LLC
Active
Other names
Greeley 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
2812 W 10TH ST, GREELEY, CO 80634-5425
(970) 352-9072
(970) 352-9366
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
12C956
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447640008
—
CO
Enumeration date
02/03/2015
Last updated
04/18/2024
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