MOUNTAIN WEST DIALYSIS SERVICES LLC (NPI# 1437310109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437310109 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN WEST DIALYSIS SERVICES LLC |
| Other Organization Name | LAKEWOOD CROSSING DIALYSIS |
| Practice Address |
1057 S Wadsworth Blvd Ste 100 Lakewood CO 80226-4361 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7209626199 |
| Practice Fax Number | 7209626196 |
| Mailing Telephone | 6153415893 |
| Mailing Fax Number | 8778507073 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2013-12-19 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 56325398 | 05 |
| Other Name | Type Code |
|---|---|
| Lakewood Crossing Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932358959 | Mountain West Dialysis Services LLC | Clinic/Center | 12365 Huron St, Ste 500, Westminster, CO 80234-3498 | 2008-09-15 |
| 1598921066 | Mountain West Dialysis Services LLC | Clinic/Center | 10371 S Park Glenn Way, Ste 180, Parker, CO 80138-3871 | 2008-08-04 |
| 1336301860 | Mountain West Dialysis Services LLC | Clinic/Center | 1715 Iron Horse Dr, Ste 170, Longmont, CO 80501-9617 | 2008-06-26 |
| 1154582823 | Mountain West Dialysis Services LLC | Clinic/Center | 2880 Folsom St, Ste 110, Boulder, CO 80304-3769 | 2008-06-24 |
| 1063673739 | Mountain West Dialysis Services LLC | Clinic/Center | 1750 Pierce St, Lakewood, CO 80214-1434 | 2008-06-24 |
| 1609037373 | Mountain West Dialysis Services LLC | Clinic/Center | 9950 W 80th Ave, Ste 25, Arvada, CO 80005-3914 | 2008-06-24 |
| 1154582831 | Mountain West Dialysis Services LLC | Clinic/Center | 8800 Fox Dr, Thornton, CO 80260-6880 | 2008-06-24 |
| 1508026436 | Mountain West Dialysis Services LLC | Clinic/Center | 1750 Pierce St, Ste A, Lakewood, CO 80214-1434 | 2008-06-13 |
| Street Address |
1057 S WADSWORTH BLVD STE 100 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80226-4361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295703585 | Total Renal Care Inc | Clinic/Center | 1057 S Wadsworth Blvd, Ste 100, Lakewood, CO 80226-4360 | 2006-03-10 |
| 1225693799 | David Isaiah Jacot-guillarmod | Chiropractor | 1057 S Wadsworth Blvd, Lakewood, CO 80226-4360 | 2019-05-09 |
| 1265804777 | Go Chiropractic | Chiropractor | 1057 S Wadsworth Blvd, Suite 40, Lakewood, CO 80226-4360 | 2015-10-23 |
| 1194152181 | Beth E Salomonis | Massage Therapist | 1057 S Wadsworth Blvd, Suite 90, Lakewood, CO 80226-4360 | 2013-10-04 |
| 1508170333 | Encompass Home Health of Colorado, LLC | Home Health | 1057 S Wadsworth Blvd, Suite 20, Lakewood, CO 80226-4362 | 2010-08-04 |
| 1083798854 | Daniel Z. Maduff | Chiropractor | 1057 S Wadsworth Blvd, Suite 40, Lakewood, CO 80226-4360 | 2006-10-25 |
| 1457305922 | Firstchoice Home Healthcare, Inc | Clinic/Center | 1057 S Wadsworth Blvd, Suite 20, Lakewood, CO 80226-4360 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153771 | Kaeley Marie Moffatt | Behavior Technician | 265 Harlan St, Lakewood, CO 80226 | 2020-01-10 |
| 1871130849 | Karla C Lara | Behavior Technician | 265 South Horland, Lakewood, CO 80226 | 2019-12-09 |
| 1063057842 | Nancy Sue Boisture | Physical Therapist | 393 South Harlan Street, Suite 170, Lakewood, CO 80226 | 2019-11-15 |
| 1891338083 | The Rising Sun Senior Home At Belmar Inc. | Assisted Living Facility | 835 S. Flower St, Lakewood, CO 80226 | 2019-10-21 |
| 1689195562 | Amanda Marie Reider | Counselor | 1075 S Yukon St Lakewood #100, Lakewood, CO 80226 | 2017-06-30 |
| 1477092591 | Premere Rehab LLC | Occupational Therapist | 7825 W Alameda Ave, Lakewood, CO 80226 | 2017-02-22 |
| 1477901304 | Abigail L Wegert | Registered Nurse | 8015 W Alameda Ave Ste 260, Lakewood, CO 80226 | 2016-06-01 |
| 1235507724 | Justin Evans | Emergency Medicine | 476 Newland St, Lakewood, CO 80226 | 2015-09-14 |
| 1922475672 | Kingston Dialysis LLC | Clinic/Center | 1057 S Wadsworth Blvd Ste 100, Lakewood, CO 80226 | 2015-08-28 |
| 1457731937 | Terry Cheung | Nurse Practitioner | 7444 W Alaska Drive, Suite #200, Lakewood, CO 80226 | 2015-06-01 |
| Find all providers in zip 80226 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1164890604 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste A, Lakewood, CO 80214 | 2015-09-14 |
| 1679940324 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste C, Lakewood, CO 80214-1434 | 2015-08-28 |
| 1922475672 | Kingston Dialysis LLC | Clinic/Center | 1057 S Wadsworth Blvd Ste 100, Lakewood, CO 80226 | 2015-08-28 |
| 1588972012 | Kidney Center of Bear Creek LLC | Clinic/Center | 11058 W Jewell Ave, Lakewood, CO 80232-6139 | 2010-09-17 |
| 1831420462 | Total Renal Care Inc | Clinic/Center | 14050 Madison Ave, Lakewood, OH 44107-4530 | 2010-01-21 |
| 1831388107 | Kidney Center of Lakewood LLC | Clinic/Center | 6166 W Alameda Ave, Lakewood, CO 80226-3539 | 2007-10-23 |
| 1124122908 | Lakewood Dialysis Services, LLC | Clinic/Center | 1328 River Ave, #16, Lakewood, NJ 08701-5645 | 2006-09-12 |
| 1003870130 | Total Renal Care Inc | Clinic/Center | 5919 Lakewood Towne Center Blvd Sw Ste A, Lakewood, WA 98499-6513 | 2006-04-14 |
| 1285693002 | Total Renal Care Inc | Clinic/Center | 4611 Silva St, Lakewood, CA 90712-2512 | 2006-03-21 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.