Organization · Type 2 NPI

Southwest Kidney Davita Dialysis Partners LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Phoenix, AZ

NPI number 1013190792 Active

Practice location

337 E Coronado Rd, Ste 101
Phoenix, AZ 85004-1582

Call (602) 253-9006 Map

Fax (602) 253-9465

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	OTC-4430 (AZ)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

14 other providers at this address

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NPI record

NPI: 1013190792
Entity type: Organization (Type 2)
Issued: Dec 17, 2007
Last updated: May 20, 2026
Status: Active

Other names

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Phoenix Dialysis Center · doing business as
Phoenix Dialysis Center · doing business as

Authorized official

Samuel T Wey
VP, Licensure & Certification
(615) 341-6641

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013190792

Southwest Kidney Davita Dialysis Partners LLC's National Provider Identifier is 1013190792, issued on Dec 17, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Phoenix, AZ. The record was last updated on May 20, 2026.