Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southwest Kidney Davita Dialysis Partners LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1093071821

Southwest Kidney Davita Dialysis Partners LLC provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Wickenburg, Arizona. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

811 N Tegner St Suites 101 103 105 107
Wickenburg, AZ 85390-5409
Phone: (928) 684-6898
Fax: (928) 684-6107
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1093071821
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp, Licensure & Certification · (615) 341-6641
Other names Wickenburg Dialysis; Wickenburg Dialysis
NPI enumeratedApril 5, 2012
Last updated in NPPESJanuary 2, 2025
Certification dateJanuary 2, 2025
Mailing address5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Wickenburg