Organization · Type 2 NPI

Southwest Kidney Davita Dialysis Partners, LLC

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

NPI number 1306237656 Active

Practice location

5115 E Thomas Rd, Ste 100
Phoenix, AZ 85018-7914

Call (602) 840-0072 Map

Fax (602) 956-1405

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	None listed

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

2 other providers at this address

Calaveras Dialysis LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Phoenix, AZ NPI 1295070761
Total Renal Care IncEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Phoenix, AZ NPI 1750751491

Other end-stage renal disease (esrd) treatment clinic/center providers in Phoenix

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NPI record

NPI: 1306237656
Entity type: Organization (Type 2)
Issued: Feb 9, 2015
Last updated: Jun 18, 2025
Status: Active

Other names

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Phoenix Home Dialysis · doing business as
Phoenix Home Dialysis · doing business as

Authorized official

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

Verify this record

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 1306237656

Southwest Kidney Davita Dialysis Partners, LLC's National Provider Identifier is 1306237656, issued on Feb 9, 2015. 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 Jun 18, 2025.