Active NPI
Le Mars Area Dialysis Services
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Le Mars, IA
National Provider Identifier
1609170257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Services
- Overall star rating
- Ownership
- Non-profit
- Certified
- Mar 21, 2012
- Medicare certification status
- Active
- 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2018481 | Le Mars Area Dialysis Service | Certificate of waiver | Jan 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.