Liberty Dialysis - Colorado Springs Central

LBN: Csld Lelaray Llc
Liberty Dialysis - Colorado Springs Central is an health care organization with primary practice located at 1910 Lelaray St , Colorado Springs CO 80909-2800. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Csld Lelaray Llc can be contacted via phone (719) 380-4878, or through Blanton, Barry L. via phone (781) 699-9000.

Contact Information

Primary practice address
1910 Lelaray St Colorado Springs CO 80909-2800
Phone: (719) 380-4878
Fax: (719) 380-4918
Website:
Map and Directions
Authorized official contact:
Name: Blanton, Barry L.
Phone: (781) 699-9000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1538395165
LBN Legal business name Csld Lelaray Llc
DBA Doing business as Liberty Dialysis - Colorado Springs Central
Authorized official Blanton, Barry L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 10th, 2009
Last updated Oct 17th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538395165 NPPES
Colorado MEDICAID 32503351

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