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Fresenius Medical Care Dialysis Services Colorado LLC

Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Pueblo, CO

NPI 1891807699 · NPPES record last updated Sep 2, 2026

Key facts

NPI
1891807699
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Legal business name
FRESENIUS MEDICAL CARE DIALYSIS SERVICES COLORADO LLC
Practice address
3426 Lake Ave Ste 110
Pueblo, CO 81004-3878
Phone
(719) 564-2442
Fax
(719) 564-2505
NPI assigned
Aug 31, 2006
Organization subpart
Yes
Parent organization (as reported)
FRESENIUS MEDICAL CARE HOLDINGS, INC.

Authorized official

Name
Denise Wright
Title
Vice President
Phone
(781) 676-5200

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

Affiliated clinicians 2

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

Medicare Care Compare: Dialysis facility

Listed as
062537 Pueblo South Dialysis (FMC) CCN 062537
Overall star rating
★★★☆☆ 3.0 of 5
Ownership
Profit
Certified
Oct 10, 2001
Medicare certification status
Active (Provider of Services file)
Chain
Fresenius Medical Care
Dialysis stations
20

Source: Medicare Care Compare. Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100709000776 CO Part a Provider - End-Stage Renal Disease Facility (ESRD) 7719928845 Practice locations: Pueblo, CO

National Provider Directory

Tax ID family
Fresenius Medical Care Dialysis Services Colorado LLC (15 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Yes

Addresses

Primary practice location

3426 Lake Ave Ste 110
Pueblo, CO 81004-3878

Mailing address

3426 Lake Ave Ste 110
Pueblo, CO 81004-3878
Phone (719) 564-2442

Other names

  • FRESENIUS MEDICAL CARE PUEBLO SOUTH DIALYSIS Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Other providers in Pueblo, CO

All providers in Pueblo, CO · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Colorado

Sources for this page

Verify at the official NPI Registry.