Organization · Type 2 NPI

Sun City Dialysis Center LLC

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

NPI number 1194789594 Active

Practice location

14664 N Del Webb Blvd
Sun City, AZ 85351-2137

Call (623) 583-6550 Map

Fax (623) 977-2514

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	OTC3476 (AZ)

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

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NPI record

NPI: 1194789594
Entity type: Organization (Type 2)
Issued: Apr 13, 2006
Last updated: Aug 7, 2026
Status: Active

Other names

<unavail>
Palm Brook Dialysis Center · doing business as
Palm Brook 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 1194789594

Sun City Dialysis Center LLC's National Provider Identifier is 1194789594, issued on Apr 13, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Sun City, AZ. The record was last updated on Aug 7, 2026.