Provider Demographics
NPI:1417236126
Name:RENAL CENTER OF WEBSTER CITY, LLC
Entity Type:Organization
Organization Name:RENAL CENTER OF WEBSTER CITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REVENUE
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHATFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-384-4000
Mailing Address - Street 1:1626 COLE BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3306
Mailing Address - Country:US
Mailing Address - Phone:303-384-4000
Mailing Address - Fax:720-497-9700
Practice Address - Street 1:1610 COLLINS ST
Practice Address - Street 2:SUITE D
Practice Address - City:WEBSTER CITY
Practice Address - State:IA
Practice Address - Zip Code:50595-2623
Practice Address - Country:US
Practice Address - Phone:515-832-1667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RENAL VENTURES MANAGEMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment