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NPI Code Detail

MEDICARE: SAKDC - DAVITA DIALYSIS PARTNERS LP

MEDICARE: SAKDC - DAVITA DIALYSIS PARTNERS LP
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/Center008251TX

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 : 1396708194
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAKDC - DAVITA DIALYSIS PARTNERS LP
Provider Business Mailing Address
First Line : 5200 VIRGINIA WAY
Second Line : L&C DEPT
City : BRENTWOOD
State : TN
Zip : 37027-7569
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 803 CASTROVILLE RD
Second Line : STE 415
City : SAN ANTONIO
State : TX
Zip : 78237-3148
Country : US
Telephone Number : 210-438-9290
Fax Number : 210-438-9289
Authorized Official
Title or Position : VP LICENSURE & CERTIFICATION
Name : SAMUEL T WEY
Credential :
Telephone Number : 615-341-6641
Provider Enumeration Date : 04/11/2006
Last Update Date : 05/15/2025

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Directions to “SAKDC - DAVITA DIALYSIS PARTNERS LP ” Practice Location

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