Organization
SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS, LLC
Active
Other names
Brookwood 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
8910 N 43RD AVE, STE 107, GLENDALE, AZ 85302-5340
(623) 937-2735
(623) 937-2758
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
—
481882
—
AZ
Enumeration date
11/05/2008
Last updated
08/21/2025
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