SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC NPI 1770714701

NPI Information

SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC is an end-stage renal disease (esrd) treatment clinic center in Chandler, AZ. SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC NPI is 1770714701. The provider is registered as an organization entity type.
The provider Is Doing Business As Ocotillo Dialysis.

The provider's business location address is:

975 W CHANDLER HEIGHTS RD
UNIT 101
CHANDLER, AZ
ZIP 85248-724
Phone: (480) 802-4405
Fax: (480) 802-5390

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 03D1104720 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/8/2009 and was last updated on 10/26/2023.

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:

Other Identifiers

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

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