Provider Demographics
NPI:1316631633
Name:FRESENIUS MEDICAL CARE DIALYSIS SERVICES COLORADO, LLC
Entity type:Organization
Organization Name:FRESENIUS MEDICAL CARE DIALYSIS SERVICES COLORADO, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:9050 E LOWRY BLVD STE 130
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6991
Mailing Address - Country:US
Mailing Address - Phone:303-583-4970
Mailing Address - Fax:303-867-8186
Practice Address - Street 1:9050 E LOWRY BLVD STE 130
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-6991
Practice Address - Country:US
Practice Address - Phone:303-583-4970
Practice Address - Fax:303-867-8186
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-08
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment