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WALLOWA DIALYSIS LLC
NPI 1023360955
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Ontario, OH

Active since October 02, 2012
3/5
Overall Rating
2148 W 4TH ST, ONTARIO, OH 44906(419) 747-4039(419) 747-4046 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2025, Oct 1, 2024, Jun 5, 2023 and 2 more (5 updates tracked since 2019).

About Wallowa Dialysis Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALLOWA DIALYSIS LLC (NPI 1023360955), doing business as Mid Ohio Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Ontario, Ohio and active in the NPI registry since October 2012. The organization lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1023360955
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameWALLOWA DIALYSIS LLC
Location Address2148 W 4TH STOntario, OH 44906-1200
Mailing Address5200 Virginia Way, L & C DepartmentBrentwood, TN 37027-7569
Phone(419) 747-4039
Fax(419) 747-4046
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateOctober 2, 2012
Last NPPES UpdateSeptember 15, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1023360955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
2148 W 4TH ST, Ontario, OH 44906
Open in Google Maps ↗

Other Names 1

Doing Business AsMid Ohio Dialysis

Other Identifiers 1

Medicaid0100014OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Mid Ohio Dialysis (CMS certification number 362804), from CMS Care Compare.

DaVita Mid Ohio Dialysis

Dialysis facility · Ontario, OH
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number362804
ESRD NetworkNetwork 9
Hemodialysis Stations13
Medicare-Certified SinceDecember 9, 2013
Location2148 W 4TH STOntario, OH 44906 · Richland County
Phone(419) 747-4039
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wallowa Dialysis LLC's NPI number?

The NPI number for Wallowa Dialysis LLC is 1023360955. It was assigned to this organization in the NPPES registry on October 2, 2012. The provider is doing business as Mid Ohio Dialysis.

Where is Wallowa Dialysis LLC located?

Wallowa Dialysis LLC is located at 2148 W 4th St, Ontario, OH 44906. The listed phone number is (419) 747-4039.

What is Wallowa Dialysis LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Is Wallowa Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Mid Ohio Dialysis is a Medicare-certified dialysis facility, certified since December 9, 2013.

What quality rating does Wallowa Dialysis LLC have?

CMS rates DaVita Mid Ohio Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Wallowa Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 9 other insurers list Wallowa Dialysis LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wallowa Dialysis LLC was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.