FRESENIUS MEDICAL CARE DIALYSIS SERVICES COLORADO, LLC (NPI# 1891807699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891807699 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE DIALYSIS SERVICES COLORADO, LLC |
| Other Organization Name | FRESENIUS MEDICAL CARE PUEBLO SOUTH DIALYSIS |
| Practice Address |
3426 Lake Ave Suite 110 Pueblo CO 81004-3878 |
| Practice Telephone | 7195642442 |
| Mailing Telephone | 7195642442 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-01-23 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| 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 |
| Other Name | Type Code |
|---|---|
| Fresenius Medical Care Pueblo South Dialysis | Doing Business As Name - Organization |
| 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 |
| 1689004251 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 3410 S Galena St, Ste 100, Denver, CO 80231-5089 | 2013-11-19 |
| 1740509546 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 73 North Aspen Ski Way, Pueblo West, CO 81007-1483 | 2010-05-19 |
| 1952403123 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 2343 W 27th St #503, Greeley, CO 80634-8044 | 2006-09-01 |
| 1295847093 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 2940 Ginnala Dr, Loveland, CO 80538-2701 | 2006-08-31 |
| 1174635973 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 108 West Lee Ave, Lamar, CO 81052-3711 | 2006-08-31 |
| 1952413858 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 2107 S Timberline Rd, Fort Collins, CO 80525-4372 | 2006-08-31 |
| 1780001008 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 1212 9th St, Greeley, CO 80631-3234 | 2014-03-25 |
| Street Address |
3426 LAKE AVE SUITE 110 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-3878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104824259 | Mark Phillip Albright | Internal Medicine | 3426 Lake Ave, 120, Pueblo, CO 81004-3877 | 2005-07-12 |
| 1528211760 | Pamela Isley | Nurse Practitioner | 3426 Lake Ave, #120, Pueblo, CO 81004-3877 | 2008-10-31 |
| 1104946656 | Christine B Baugh | Nurse Practitioner | 3426 Lake Ave, Suite 120, Pueblo, CO 81004-3877 | 2007-03-29 |
| 1205919750 | Irina Vancea | Internal Medicine | 3426 Lake Ave, Ste 120, Pueblo, CO 81004-3877 | 2006-10-20 |
| 1306861216 | Bonnie Duran | Nurse Practitioner | 3426 Lake Ave, 120, Pueblo, CO 81004-3877 | 2006-07-12 |
| 1083642144 | Southern Colorado Nephrology Assoc PC | Specialist | 3426 Lake Ave, 120, Pueblo, CO 81004-3877 | 2006-06-29 |
| 1952309817 | Stephen Theodore Brown | Internal Medicine | 3426 Lake Ave, 120, Pueblo, CO 81004-3877 | 2005-07-13 |
| 1477551521 | Scott William Harberts | Internal Medicine | 3426 Lake Ave, 120, Pueblo, CO 81004-3877 | 2005-07-12 |
| 1295733350 | Stanley Carlos Sicher | Internal Medicine | 3426 Lake Ave, 120, Pueblo, CO 81004-3877 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| 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 |
|---|---|---|---|---|
| 1790953453 | Liberty Dialysis Pueblo LLC | Clinic/Center | 850 Eagle Ridge Blvd, Pueblo, CO 81008-2148 | 2008-02-15 |
| 1396847562 | Qualicenters Pueblo, LLC | Clinic/Center | 41 Montbello Road, Suite 200, Pueblo, CO 81001-1366 | 2006-09-01 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.