KIDNEY CENTER OF BEAR CREEK LLC (NPI# 1588972012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588972012 |
| Entity Type | Organization |
| Organization Name | KIDNEY CENTER OF BEAR CREEK LLC |
| Practice Address |
11058 W Jewell Ave Lakewood CO 80232-6139 |
| Practice Telephone | 3032334204 |
| Practice Fax Number | 3032334214 |
| Mailing Telephone | 3032334204 |
| Mailing Fax Number | 3032334214 |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | SHARI K COUSINS (SR. VP OF CLINICAL & REGULATORY) |
| Authorized Official Telephone | 9789223080 |
| 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 | 70579563 | 05 |
| Street Address |
11058 W JEWELL AVE |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80232-6139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205453396 | Brittni Ann Reid | Chiropractor | 1360 S. Wadsworth Blvd, Suite #104, Lakewood, CO 80232 | 2020-07-06 |
| 1144711870 | Vanessa Rangel | Behavior Technician | 8237 W Mexico Ave Lakewood Co, Lakewood, CO 80232 | 2018-05-29 |
| 1265947683 | Kampwerth Chiropractic, LLC | Chiropractor | 6565 W. Jewell Ave, # 12a, Lakewood, CO 80232 | 2017-12-07 |
| 1912416660 | Michelle Lee Dixon | Occupational Therapist | 1622 S Owens St. Apt #288, Lakewood, CO 80232 | 2017-09-26 |
| 1144756537 | Virginia Night | Occupational Therapist | 1259 S Quail St, Lakewood, CO 80232 | 2017-05-04 |
| 1588195093 | Rocky Mountain Employment Services | Community/Behavioral Health | 6054 W Utah Ln, Lakewood, CO 80232 | 2017-03-26 |
| 1932584299 | Brian Cohn Bcba LLC | Behavioral Analyst | 1626 S Kline Ct, Lakewood, CO 80232 | 2015-07-28 |
| 1588044754 | Ignacia Genco | Acupuncturist | 6655 W. Jewell Ave Unit 201, Lakewood, CO 80232 | 2015-06-03 |
| 1992079172 | Michael Anthony Rooney | Counselor | 6655 West Jewell Ave, Suite #102, Lakewood, CO 80232 | 2012-03-06 |
| 1407165491 | Kelly Ann Garcia-brauch | Counselor | 1880 S Pierce St Ste 11, Lakewood, CO 80232 | 2010-09-24 |
| Find all providers in zip 80232 | ||||
| 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 |
| 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 |
| 1295703585 | Total Renal Care Inc | Clinic/Center | 1057 S Wadsworth Blvd, Ste 100, Lakewood, CO 80226-4360 | 2006-03-10 |
| 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.