Organization · Type 2 NPI
Southern Colorado Joint Ventures LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fountain, CO
NPI number
1942235759
Active
Practice location
6910 Bandley Dr
Fountain, CO 80817
Fax (719) 393-0318
Mailing address
5200 Virginia Way
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...
Another provider at this address
About NPI 1942235759
Southern Colorado Joint Ventures LLC's National Provider Identifier is 1942235759, issued on Jul 11, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fountain, CO. The record was last updated on Mar 4, 2015.