Organization
SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS, LLC
Active
Other names
Swan 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
1635 N SWAN RD, TUCSON, AZ 85712-4046
(520) 327-1125
(520) 327-2963
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
—
375631
—
AZ
Enumeration date
03/21/2017
Last updated
03/20/2026
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