SOUTHWEST ROCKY MOUNTAIN DIALYSIS, LLC (NPI# 1639692288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639692288 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST ROCKY MOUNTAIN DIALYSIS, LLC |
| Other Organization Name | MONTBELLO DIALYSIS |
| Practice Address |
4834 Chambers Rd Denver CO 80239-5152 |
| Mailing Address |
5200 Virginia Way Brentwood TN 37027-7569 |
| Practice Telephone | 3033711502 |
| Practice Fax Number | 3033713627 |
| Mailing Telephone | 6153416264 |
| Mailing Fax Number | 8002972925 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2020-03-09 |
| Authorized Official Name | JOHN WINSTEL (CHEIF 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 |
| Other Name | Type Code |
|---|---|
| Montbello Dialysis | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Southwest Rocky Mountain Dialysis, LLC | Jld/secgovfin, 2000 16th Street, Denver, CO 80202 |
| Street Address |
4834 CHAMBERS RD |
| City | DENVER |
| State | CO |
| Zip Code | 80239-5152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799624 | Tiffanny Edelman | Behavior Technician | 12015 E. 46th Avenue Suite 680, Denver, CO 80239 | 2020-01-15 |
| 1427543586 | Magnolia Medical Company | Clinical Medical Laboratory | 10515 40th Avenue Suite 115, Denver, CO 80239 | 2018-06-29 |
| 1124477427 | Mallory Jean Crouch | Counselor | 3720 Revere St., Ste. B, Denver, CO 80239 | 2016-06-07 |
| 1659760841 | Ebony Leanne Williams | Home Health Aide | 14976 E 50th Dr, Denver, CO 80239 | 2015-01-12 |
| 1154686301 | Tuesday Nicole Hennessy | Optometrist | 4804 N Chambers Rd, Denver, CO 80239 | 2012-07-12 |
| 1225343379 | Denver Health and Hospital Authority | Clinic/Center | 12600 E. Albrook Drive, Denver, CO 80239 | 2010-08-13 |
| 1699902114 | James Gabel Kaferly IIi | Pediatrics | 12600 East Albrook Dr., Montbello Family Health Center Office, Denver, CO 80239 | 2009-06-11 |
| 1073733218 | Health One Home Health Care LLC. | Home Health | 4890 Ironton St, Unit H6, Denver, CO 80239 | 2007-04-30 |
| 1164578993 | Chelle Marie Lodge-guttery | Psychologist | 10900 Smith Rd., Denver, CO 80239 | 2007-01-26 |
| 1952327975 | Russell Wm Simpson | Internal Medicine | 4896 Chambers Rd., Denver, CO 80239 | 2006-07-14 |
| Find all providers in zip 80239 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1689004251 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 3410 S Galena St, Ste 100, Denver, CO 80231-5089 | 2013-11-19 |
| 1043322845 | Fresenius Medical Care Dialysis Services Colorado LLC | Clinic/Center | 7606 E 36th Ave, Bldg. 701, Denver, CO 80238-2476 | 2006-08-31 |
| 1730156944 | Total Renal Care Inc | Clinic/Center | 7465 E 1st Ave, Ste A, Denver, CO 80230-6877 | 2006-03-07 |
| 1447227947 | Rocky Mountain Dialysis Services LLC | Clinic/Center | 755 S Colorado Blvd, Denver, CO 80246-8005 | 2006-03-02 |
| 1972570794 | Renal Treatment Centers West Inc | Clinic/Center | 2900 Downing St, Ste C, Denver, CO 80205-4699 | 2006-03-01 |
| 1801428271 | Davita Inc | Clinic/Center | 2000 16th St, Denver, CO 80202-5117 | 2020-02-04 |
| 1285265041 | Total Renal Care Inc | Clinic/Center | 2000 16th St, Denver, CO 80202-5117 | 2020-01-30 |
| 1992082531 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 723 Delaware St, #m105, Denver, CO 80204-4504 | 2011-11-10 |
| Find all providers in DENVER | ||||
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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.