QUALICENTERS PUEBLO LLC NPI 1639281439

NPI Information

  • NPI: 1639281439
  • Provider Name: QUALICENTERS PUEBLO, LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: FRESENIUS MEDICAL CARE LA JUNTA DIALYSIS
  • CLIA Number: 06D0923611
  • Address: 1012 HAYES AVE
    LA JUNTA, CO
    ZIP 81050
  • Phone: (719) 383-2300

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NPI Details

QUALICENTERS PUEBLO, LLC is an end-stage renal disease (esrd) treatment clinic center in La Junta, CO. QUALICENTERS PUEBLO, LLC NPI is 1639281439. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care La Junta Dialysis.

The provider's business location address is:

1012 HAYES AVE
LA JUNTA, CO
ZIP 81050-107
Phone: (719) 383-2300
Fax: (719) 383-2302

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 06D0923611 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 10/13/2023.

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

What is NPI?

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This page was last updated on: 11/21/2025

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