MOUNTAIN WEST DIALYSIS SERVICES LLC NPI 1154582823

NPI Information

NPI: 1154582823
Provider Name: MOUNTAIN WEST DIALYSIS SERVICES LLC

Doing Business As: BOULDER DIALYSIS CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2880 FOLSOM ST
STE 110
BOULDER, CO
ZIP 80304
Phone: (303) 440-5600
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MOUNTAIN WEST DIALYSIS SERVICES LLC is an end-stage renal disease (esrd) treatment clinic center in Boulder, CO. MOUNTAIN WEST DIALYSIS SERVICES LLC NPI is 1154582823. The provider is registered as an organization entity type.
The provider Is Doing Business As Boulder Dialysis Center.

The provider's business location address is:

2880 FOLSOM ST
STE 110
BOULDER, CO
ZIP 80304-769
Phone: (303) 440-5600
Fax: (303) 440-4165

The provider's authorized official is James K Hilger .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4500.

The enumeration date for this NPI number is 6/24/2008 and was last updated on 12/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	062517	MEDICARE OSCAR/CERTIFICATION	COLORADO
2	86187589	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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