OrganizationActive
Qualicenters Pueblo, LLC
NPI 1720190523 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Canon City, CO
Provider details
- NPI number
- 1720190523
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Fresenius Medical Care Holdings, Inc.
- Organization subpart
- Yes
- Authorized official
- Barry Blanton, Vice President(781) 699-9000
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2245 Fremont Dr
Canon City, CO 81212-2533
Phone: (719) 276-8404
Fax: (719) 276-0015
Approximate (ZIP-level) locationGet directions
Mailing address
2245 Fremont Dr
Canon City, CO 81212-2533
Other names (DBA / former)
- Doing business as
- Fresenius Medical Care Canon City Dialysis
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2023-10-13
- Certified
- 2023-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.