Boulder Dialysis Center

LBN: Kingston Dialysis Llc
Boulder Dialysis Center is an health care organization with primary practice located at 2880 Folsom St Ste 110 , Boulder CO 80304. 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. Kingston Dialysis Llc can be contacted via phone (303) 440-5600, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
2880 Folsom St Ste 110 Boulder CO 80304
Phone: (303) 440-5600
Fax: (303) 440-4165
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 120301 Colorado

Profile Details

NPI number 1891162301
LBN Legal business name Kingston Dialysis Llc
DBA Doing business as Boulder Dialysis Center
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2015
Last updated Dec 12th, 2023 - about last year

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 1891162301 NPPES
Colorado MEDICAID 1891162301

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