KINGSTON DIALYSIS LLC (NPI# 1891162301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891162301 |
| Entity Type | Organization |
| Organization Name | KINGSTON DIALYSIS LLC |
| Other Organization Name | BOULDER DIALYSIS CENTER |
| Practice Address |
2880 Folsom St Ste 110 Boulder CO 80304 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 3034405600 |
| Practice Fax Number | 3034404165 |
| Mailing Telephone | 6153416264 |
| Mailing Fax Number | 8002972925 |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2020-07-16 |
| Authorized Official Name | JOHN WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| 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 |
120301 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 1891162301 | 05 | |
| CO | STATE LICENSE | 120301 | 01 |
| Other Name | Type Code |
|---|---|
| Boulder Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164890604 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste A, Lakewood, CO 80214 | 2015-09-14 |
| 1164899670 | Kingston Dialysis LLC | Clinic/Center | 9950 W 80th Ave Ste 25, Arvada, CO 80005 | 2015-09-01 |
| 1679940324 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste C, Lakewood, CO 80214-1434 | 2015-08-28 |
| 1740657402 | Kingston Dialysis LLC | Clinic/Center | 1715 Iron Horse Dr Ste 170, Longmont, CO 80501 | 2015-08-28 |
| 1922475672 | Kingston Dialysis LLC | Clinic/Center | 1057 S Wadsworth Blvd Ste 100, Lakewood, CO 80226 | 2015-08-28 |
| 1386012268 | Kingston Dialysis LLC | Clinic/Center | 8800 Fox Dr, Thornton, CO 80260 | 2015-09-09 |
| Street Address |
2880 FOLSOM ST STE 110 |
| City | BOULDER |
| State | CO |
| Zip Code | 80304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1144606294 | Colorado Recovert, Inc. | Psychiatric Residential Treatment Facility | 2818 13th St., Boulder, CO 80304 | 2015-07-30 |
| Find all providers in zip 80304 | ||||
| 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 |
|---|---|---|---|---|
| 1538136296 | Total Renal Care of Colorado Inc | Clinic/Center | 2880 Folsom St, Ste 110, Boulder, CO 80304-3739 | 2006-03-02 |
| 1154654317 | Commonwealth Dialysis Center Home Hemo,llc | Clinic/Center | 2100 Central Ave, Suite 201, Boulder, CO 80301-2838 | 2009-09-04 |
| 1154582823 | Mountain West Dialysis Services LLC | Clinic/Center | 2880 Folsom St, Ste 110, Boulder, CO 80304-3769 | 2008-06-24 |
| 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.