Organization
LIBERTY DIALYSIS PUEBLO LLC
Active
Parent organization
U.S. RENAL CARE, INC.
Other names
U.S. Renal Care Pueblo Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
U.S. RENAL CARE, INC.
Authorized official
THOMAS L. WEINBERG (AUTHORIZED OFFICIAL)
(214) 736-2700
Entity
Organization
Contact information
Practice address
850 EAGLE RIDGE BLVD, PUEBLO, CO 81008-2148
(719) 253-5980
(719) 583-0833
Mailing address
424 CHURCH ST, SUITE 1900, NASHVILLE, TN 37219-2301
(615) 777-8201
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
—
02224887
—
CO
Enumeration date
02/15/2008
Last updated
03/31/2016
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