Organization · Type 2 NPI

Southwest Kidney Davita Dialysis Partners, LLC

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

NPI number 1437612165 Active

Practice location

14620 W Encanto Blvd, Ste 110
Goodyear, AZ 85395-1616

Call (623) 526-3332 Map

Fax (623) 321-2057

Mailing address

5200 Virginia Way, Att: 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...

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NPI record

NPI: 1437612165
Entity type: Organization (Type 2)
Issued: Apr 10, 2019
Last updated: May 7, 2025
Status: Active

Other names

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Dialysis Care at Palm Valley · doing business as
Dialysis Care at Palm Valley · 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 1437612165

Southwest Kidney Davita Dialysis Partners, LLC's National Provider Identifier is 1437612165, issued on Apr 10, 2019. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Goodyear, AZ. The record was last updated on May 7, 2025.