FOUNTAIN DIALYSIS CENTER – NPI #1942235759
Clinic/Center
FOUNTAIN DIALYSIS CENTER is an AHC clinic located in FOUNTAIN, CO. NPPES has assigned the NPI number 1942235759 to FOUNTAIN DIALYSIS CENTER on July 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FOUNTAIN DIALYSIS CENTER” is a dba name, the actual legal business name for this organization is SOUTHERN COLORADO JOINT VENTURES LLC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment
The NPI profile was previously updated about 11 years ago on Mar 04, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FOUNTAIN DIALYSIS CENTER below.
NPI Profile for
SOUTHERN COLORADO JOINT VENTURES LLC
(about 20 years ago)
FOUNTAIN, CO 80817 Phone: (719) 393-0190 Fax: (719) 393-0318
BRENTWOOD, TN 37027-7569 Phone: (615) 341-5893 Fax: (877) 850-7073
CHIEF ACCOUNTING OFFICER
Phone: (253) 280-9501
Identifiers for FOUNTAIN DIALYSIS CENTER
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | CO | 22570781 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QE0700X - Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.