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NPI Code Detail

MEDICARE: WESTMINSTER RENAL DIALYSIS LLC

MEDICARE: WESTMINSTER RENAL DIALYSIS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215372487
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTMINSTER RENAL DIALYSIS LLC
Provider Business Mailing Address
First Line : 1865 W 121ST AVE
Second Line : SUITE 300-C
City : WESTMINSTER
State : CO
Zip : 80234-2326
Country : US
Telephone Number : 303-429-9550
Fax Number : 303-429-9540
Provider Business Practice Location Address
First Line : 1865 W 121ST AVE
Second Line : SUITE 300-C
City : WESTMINSTER
State : CO
Zip : 80234-2326
Country : US
Telephone Number : 303-429-9550
Fax Number : 303-429-9540
Authorized Official
Title or Position : CHIEF NURSING OFFICER
Name : SARA ANNE BRADY
Credential :
Telephone Number : 208-371-7878
Provider Enumeration Date : 05/01/2013
Last Update Date : 01/10/2023

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Directions to “WESTMINSTER RENAL DIALYSIS LLC ” Practice Location

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