OrganizationActive
Southern Colorado Joint Ventures LLC
NPI 1942235759 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fountain, CO
Provider details
- NPI number
- 1942235759
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Hilger, Chief Accounting Officer(253) 280-9501
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
6910 Bandley Dr
Fountain, CO 80817
Phone: (719) 393-0190
Fax: (719) 393-0318
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Fountain Dialysis Center
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2015-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.