Organization Active NPI

Le Mars Area Dialysis Services

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Le Mars, IA
National Provider Identifier
1609170257
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
LE MARS AREA DIALYSIS SERVICES
Doing business as
Le Mars Area Dialysis Services
Practice address
1 1St St SW
Le Mars, IA 51031-3611
Phone
(712) 541-6150
Fax
(712) 541-6155
NPI assigned
Dec 22, 2010
Last updated
Jan 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Donlin
Title
President
Phone
(712) 546-3492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1 1St St SW
Le Mars, IA 51031-3611

Mailing address

1 1St St SW
Le Mars, IA 51031-3611
Phone (712) 541-6150

Other names 1

  • Le Mars Area Dialysis Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110207000235 IA Part A Provider - End-Stage Renal Disease Facility (ESRD) 5698955755 Practice locations: Le Mars, IA

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Le Mars Area Dialysis ServicesCCN 162546
Overall star rating
3.0 of 5
Ownership
Non-profit
Certified
Mar 21, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Chain
Fresenius Medical Care
Dialysis stations
9

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2018481Le Mars Area Dialysis Service1 First Street SW, Le Mars, IA 51031Certificate of waiverJan 5, 2027

National Provider Directory

National Provider Directory

Locations

1 1st St SW
Le Mars, IA 51031
Phone (712) 541-6150

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1609170257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 1ST ST SW",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313611",
            "telephone_number": "712-541-6150",
            "fax_number": "712-541-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 1ST ST SW",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313611",
            "telephone_number": "712-541-6150",
            "fax_number": "712-541-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE MARS AREA DIALYSIS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "DONLIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-546-3492"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Le Mars Area Dialysis Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Le Mars, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.