Organization
MOUNTAIN WEST DIALYSIS SERVICES LLC
Active
Other names
Parker 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
10371 PARKGLENN WAY STE 180, PARKER, CO 80138-3871
(303) 840-0541
(303) 840-9051
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
—
60456221
—
CO
Enumeration date
08/04/2008
Last updated
02/10/2025
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