MILLTOWN DIALYSIS LLC


Address: 1321 S 4th Ave Ste 100, Brighton, CO 80601
Phone: 6197888500

MILLTOWN DIALYSIS LLC (NPI# 1174074223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174074223
Entity Type Organization
Organization Name MILLTOWN DIALYSIS LLC
Other Organization Name PLATTE VALLEY DIALYSIS
Practice Address 1321 S 4th Ave Ste 100
Brighton
CO 80601
Mailing Address 5200 Virginia Way
Brentwood
TN 37027-7569
Practice Telephone 6197888500
Mailing Telephone 6153416264
Mailing Fax Number 8002972925
Enumeration Date 2016-10-24
Last Update Date 2020-10-20
Authorized Official Name JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334501
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
12H565 CO Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CO 1174074223 05

Other Provider/Organization Names

Other Name Type Code
Platte Valley Dialysis Doing Business As Name - Organization

Office Location

Street Address 1321 S 4TH AVE STE 100
City BRIGHTON
State CO
Zip Code 80601

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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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1356302848 Kidney Centers of Michigan LLC Clinic/Center 7960 Grand River Rd, Ste 210, Brighton, MI 48114-7336 2006-04-01
1821065749 Brighton Dialysis Center LLC Clinic/Center 4700 E Bromley Lane, Suite 103, Brighton, CO 80601 2006-03-01
1720465016 Renal Treatment Centers Illinois Inc Clinic/Center 7960 Grand River Rd, Suite 210, Brighton, MI 48114-7336 2015-05-06
1881801868 Saint Elizabeth Medical Center Dialysis Unit Clinic/Center 736 Cambridge St, Brighton, MA 02135-2907 2007-05-17
1801901665 Bio-medical Applications of Michigan, Inc. Clinic/Center 5757 Whitmore Lake Rd, Suite1600, Brighton, MI 48116-1962 2006-08-20

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1861007643 Fresenius Medical Care Dialysis Services Colorado, LLC Clinic/Center 1125 S Camino Del Rio Ste 300b, Durango, CO 81303-6886 2020-09-09
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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
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Competitor

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City BRIGHTON
Zip Code 80601

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Dataset Information

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.

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