Organization
BRIGHTON DIALYSIS CENTER LLC
Active
Other names
Brighton 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
4700 E BROMLEY LANE, SUITE 103, BRIGHTON, CO 80601-7821
(303) 659-2511
(303) 659-2595
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
0221
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12S687
STATE LICENSE
CO
05
—
17182069
—
CO
Enumeration date
03/01/2006
Last updated
03/06/2025
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