SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC NPI 1427434687

NPI Information

  • NPI: 1427434687
  • Provider Name: SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS, LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: FOUNTAIN HILLS DIALYSIS
  • CLIA Number: 03D2102332
  • Address: 13430 N SAGUARO BLVD
    BLDG 3
    FOUNTAIN HILLS, AZ
    ZIP 85268
  • Phone: (480) 816-5973

Map and Directions

Get Directions

NPI Details

SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS, LLC is an end-stage renal disease (esrd) treatment clinic center in Fountain Hills, AZ. SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS, LLC NPI is 1427434687. The provider is registered as an organization entity type.
The provider Is Doing Business As Fountain Hills Dialysis.

The provider's business location address is:

13430 N SAGUARO BLVD
BLDG 3
FOUNTAIN HILLS, AZ
ZIP 85268-728
Phone: (480) 816-5973
Fax: (480) 816-5767

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 03D2102332 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2015 and was last updated on 12/16/2024.

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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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
1142725MEDICAIDARIZONA

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.