Active NPI
River Valley Dialysis LLC
Doing business as River Valley Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Marengo, IA
National Provider Identifier
1629326087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- RIVER VALLEY DIALYSIS LLC
- Doing business as
- River Valley Dialysis
- Practice address
- 300 W May St
Marengo, IA 52301-1261 - Phone
- (319) 642-8052
- Fax
- (319) 642-8002
- NPI assigned
- Aug 16, 2012
- Last updated
- Jan 25, 2013
- 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
- Rodney A Buch
- Title
- President
- Phone
- (319) 622-3131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
300 W May St
Marengo, IA 52301-1261
Mailing address
300 W May St
Marengo, IA 52301-1261
Phone (319) 642-8052
Other names 1
- River Valley Dialysis
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Essence of Life Hospice
- Community Based Hospice Care Agency
- Amana, IA
- NPI 1497817803
Member Of
Locations
255 W Lucas St
Marengo, IA 52301
Phone (319) 642-5213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359072000000",
"number": "1629326087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W MAY ST",
"city": "MARENGO",
"state": "IA",
"postal_code": "523011261",
"telephone_number": "319-642-8052",
"fax_number": "319-642-8002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W MAY ST",
"city": "MARENGO",
"state": "IA",
"postal_code": "523011261",
"telephone_number": "319-642-8052",
"fax_number": "319-642-8002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER VALLEY DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-16",
"last_updated": "2013-01-25",
"status": "A",
"authorized_official_last_name": "BUCH",
"authorized_official_first_name": "RODNEY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "319-622-3131"
},
"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": "River Valley Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marengo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.