OrganizationActive
Gila River Health Care Corporation
NPI 1700867819 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Laveen, AZ
Provider details
- NPI number
- 1700867819
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Roth, Cfo(602) 528-1200
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
9721 W. Pecos Road
Laveen, AZ 85339
Phone: (520) 550-6050
Fax: (520) 550-6051
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2176
Sacaton, AZ 85247-2176
Other names (DBA / former)
- Doing business as
- Gila River Dialysis West
Registry dates
- Enumerated
- 2005-11-07
- Last updated
- 2024-06-27
- Certified
- 2024-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.