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021808 LLC

Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Colorado Springs, CO. Organization (NPI-2).

NPI number1063688844
StatusActive
Last updated in NPPESAug 26, 2026

Details

NPI
1063688844
Entity type
Organization (NPI-2)
Legal business name
021808 LLC
Organization subpart
Yes
Enumeration date
May 1, 2008
Certification date
Aug 26, 2026
Last updated
Aug 26, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment––Yes

Other names

  • Liberty Dialysis - Colorado Springs South (Doing Business As)

Practice location

2508 Airport Rd
Colorado Springs, CO 80910-3120

Phone 719-227-7455 · Fax 719-227-7456

Mailing address

2508 Airport Rd
Colorado Springs, CO 80910-3120

Phone 719-227-7455 · Fax 719-227-7456

Authorized official

Denise Wright
Vice President
7816765200

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