Organization
NORTH COLORADO SPRINGS DIALYSIS LLC
Active
Other names
North Colorado Springs 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
6071 E WOODMEN RD, STE 100, COLORADO SPRINGS, CO 80923-2610
(719) 638-1223
(719) 597-7052
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
—
1639344187
—
CO
Enumeration date
04/25/2008
Last updated
10/15/2024
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