| Organization Name: | SOUTHWEST KIDNEY-DAVITA DIALYSIS PARTNERS, LLC |
| NPI Number: | 1093071821 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Mailing Address: | 811 N Tegner St Suites 101, 103, 105, 107 Wickenburg |
| State: | AZ US |
| Postal Code: | 853905409 |
| Phone Number: | 9286846898 |
| Fax Number: | 9286846107 |
| NPI Enumeration Date: | 04/05/2012 |
| NPI Last Update Date: | 07/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |