KIDNEY CENTER OF ARVADA LLC (NPI# 1770772030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770772030 |
Entity Type | Organization |
Organization Name | KIDNEY CENTER OF ARVADA LLC |
Other Organization Name | KIDNEY CENTER OF ARVADA |
Practice Address |
5265 Vance St Arvada CO 80002-3714 |
Practice Telephone | 3034031127 |
Practice Fax Number | 3034031128 |
Mailing Telephone | 3034031127 |
Mailing Fax Number | 3034031128 |
Enumeration Date | 2007-10-23 |
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 | 00286753 | 05 |
Other Name | Type Code |
---|---|
Kidney Center of Arvada | Doing Business As Name - Organization |
Street Address |
5265 VANCE ST |
City | ARVADA |
State | CO |
Zip Code | 80002-3714 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881685360 | Geraldine Corrigan | Internal Medicine | 5265 Vance St, Suite 200, Arvada, CO 80002-3714 | 2005-11-02 |
1245381177 | Morris Daniel Fishbein | Psychologist | 5265 Vance St, Arvada, CO 80002-3717 | 2007-01-16 |
1407907538 | Ana Salas Buckman-hart | Social Worker | 5265 Vance St, Arvada, CO 80002-3717 | 2007-01-16 |
1396895884 | Dana Margaret Bacon | Social Worker | 5265 Vance St, Arvada, CO 80002-3717 | 2007-01-10 |
1942315668 | Steven L Fabian | Internal Medicine | 5265 Vance St, Suite 200, Arvada, CO 80002-3714 | 2006-08-21 |
1366478687 | Rajesh Yalavarthy | Internal Medicine | 5265 Vance St, Suite 200, Arvada, CO 80002-3714 | 2006-06-26 |
1982651329 | Claudia M Van Dijk | Specialist | 5265 Vance St, Suite 200, Arvada, CO 80002-3714 | 2006-05-30 |
1053302398 | David M Gillum | Internal Medicine | 5265 Vance St, Suite 200, Arvada, CO 80002-3714 | 2005-11-04 |
1437140928 | Harmeet Singh | Internal Medicine | 5265 Vance St, Suite 200, Arvada, CO 80002-3714 | 2005-11-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578036679 | Mountain Valley Mental Health, LLC | Nurse Practitioner | 5400 Ward Rd Building V, Suite 110, Arvada, CO 80002 | 2019-01-10 |
1013407865 | University of Colorado Hospital Authority | Clinic/Center | 9505 Ralston Rd., Arvada, CO 80002 | 2018-05-17 |
1023513793 | Kent Lamountdo Jones | Behavior Technician | Aspen Business Park 5400 Building II Suite G-101, Arvada, CO 80002 | 2018-03-26 |
1023536638 | Jennifer Rindt | Pharmacist | 5656 Ward Way Unit A, Arvada, CO 80002 | 2017-09-03 |
1396273884 | Rocky Mountain Physicians Group, PC | Clinic/Center | 9250 Ralston Rd, Arvada, CO 80002 | 2017-05-26 |
1164955852 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 9400 Ralston Road, Arvada, CO 80002 | 2017-04-10 |
1003355173 | Ohana Service Agency | Foster Care Agency | 8600 Ralston Rd # L103, Arvada, CO 80002 | 2017-02-22 |
1053863738 | Parker Personal Care Homes, Inc. | Day Training, Developmentally Disabled Services | 6055 West 55th Place, Arvada, CO 80002 | 2016-10-28 |
1316397433 | Cortez Harvey | Counselor | 5275 Marshall St Ste 101, Arvada, CO 80002 | 2016-06-20 |
1013311216 | Peter J Dahlberg | Nurse Practitioner | 5400 Ward Rd Ste 110, Arvada, CO 80002 | 2014-10-16 |
Find all providers in zip 80002 |
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 |
---|---|---|---|---|
1164899670 | Kingston Dialysis LLC | Clinic/Center | 9950 W 80th Ave Ste 25, Arvada, CO 80005 | 2015-09-01 |
1609037373 | Mountain West Dialysis Services LLC | Clinic/Center | 9950 W 80th Ave, Ste 25, Arvada, CO 80005-3914 | 2008-06-24 |
1245206333 | Total Renal Care of Colorado Inc | Clinic/Center | 9950 W 80th Ave, Ste 25, Arvada, CO 80005-3927 | 2006-02-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063028934 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 1329 W Main St Ste B, Sterling, CO 80751-2834 | 2020-09-16 |
1295340073 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 2431 Main St Ste 5, Alamosa, CO 81101-8110 | 2020-09-09 |
1861007643 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 1125 S Camino Del Rio Ste 300b, Durango, CO 81303-6886 | 2020-09-09 |
1801424379 | Fresenius Medical Care Sloans Lake, LLC | Clinic/Center | 4097 W Colfax Ave, Denver, CO 89204-1404 | 2020-03-31 |
1043859507 | Altitude Dialysis Inc. | Clinic/Center | 1209 Monroe Street, Denver, CO 80206-3445 | 2020-01-02 |
1083259634 | Fresenius Medical Care Colorado Springs, LLC | Clinic/Center | 3326 Centennial Blvd, Colorado Springs, CO 80907-4092 | 2019-11-07 |
1376025585 | Fresenius Medical Care Dialysis Services Colorado LLC | Clinic/Center | 1526 Oakridge Dr, Fort Collins, CO 80525-7305 | 2018-09-04 |
1639692288 | Southwest Rocky Mountain Dialysis, LLC | Clinic/Center | 4834 Chambers Rd, Denver, CO 80239-5152 | 2017-07-25 |
1174074223 | Milltown Dialysis LLC | Clinic/Center | 1321 S 4th Ave Ste 100, Brighton, CO 80601 | 2016-10-24 |
1285086389 | Kidney Center of Dacono LLC | Clinic/Center | 5992 Iris Pkwy, Frederick, CO 80504-6412 | 2016-07-13 |
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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.