SUN CITY WEST DIALYSIS CENTER LLC NPI 1780879874

NPI Information

NPI: 1780879874
Provider Name: SUN CITY WEST DIALYSIS CENTER LLC

Doing Business As: WESTBROOK DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
13907 W CAMINO DEL SOL
STE 103
SUN CITY WEST, AZ
ZIP 85375
Phone: (623) 214-7088
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SUN CITY WEST DIALYSIS CENTER LLC is an end-stage renal disease (esrd) treatment clinic center in Sun City West, AZ. SUN CITY WEST DIALYSIS CENTER LLC NPI is 1780879874. The provider is registered as an organization entity type.
The provider Is Doing Business As Westbrook Dialysis.

The provider's business location address is:

13907 W CAMINO DEL SOL
STE 103
SUN CITY WEST, AZ
ZIP 85375-405
Phone: (623) 214-7088
Fax: (623) 214-0109

The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The enumeration date for this NPI number is 9/11/2007 and was last updated on 12/29/2020.

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	OTC4393	ARIZONA	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	361802	MEDICAID	ARIZONA

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

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