Durango Dialysis Center LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

0239 Issued in CO

Legal business name

DURANGO DIALYSIS CENTER LLC

Doing business as

Durango Dialysis Center

Practice address

72 Suttle St
Ste D
Durango, CO 81303-6829

Phone

(970) 385-8608

Fax

(970) 385-8626

NPI assigned

Mar 1, 2006

Last updated

Jun 18, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel T Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Durango Dialysis Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Listed as

DaVita Durango Dialysis CenterCCN 062547

Overall star rating

4.0 of 5

Ownership

Profit

Certified

May 4, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

8

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Renal Treatment Centers West Inc

  dba Clinton Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Clinton, OK
  • NPI 1730141078

  Member Of

  NPD member
• Total Renal Care Inc

  dba Cerritos Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cerritos, CA
  • NPI 1255681011

  Member Of

  NPD member

Locations

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Isaac Eli Hall, MD, MS

  • Nephrology Physician
  • Durango, CO
  • NPI 1184899981

  Dialysis facility

  Care Compare affiliation Name & address match
• Mark C Saddler, MD

  • Nephrology Physician
  • Durango, CO
  • NPI 1821062282

  Dialysis facility

  Care Compare affiliation Name & address match
• Robert Travis Neff, M.D.

  • Nephrology Physician
  • Casper, WY
  • NPI 1710086558

  Dialysis facility

  Care Compare affiliation Name & address match

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1215904040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 SUTTLE ST",
            "address_2": "STE D",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036829",
            "telephone_number": "970-385-8608",
            "fax_number": "970-385-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURANGO DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CO",
            "license": "0239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60459859",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Durango Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Durango Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Durango Counseling and Touch Therapies
• Durango Dental Partners Prof LLP
• Durango Dentistry PLLC
• Durango Dermatology and Dermatologic Surgery LLC
• Durango Dermatology and Dermatologic Surgery LLC
• Durango Family Medicine P C
• Durango Family Psychiatry
• Durango Fire and Rescue Authority
• Durango Fire Protection District
• Durango Fire Protection District

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Durango, CO
• Providers in Durango, CO by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.