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ETOWAH DIALYSIS LLC
NPI 1033687413
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Tamaqua, PA

Active since November 05, 2018
2/5
Overall Rating
1215 E BROAD ST, STE 20, TAMAQUA, PA 18252(570) 668-3480(570) 668-3483 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 10, 2026, Jan 6, 2025, May 2, 2024 and 4 more (7 updates tracked since 2018).

About Etowah Dialysis Llc NPPES

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

ETOWAH DIALYSIS LLC (NPI 1033687413), doing business as St Luke's Tamaqua Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Tamaqua, Pennsylvania and active in the NPI registry since November 2018. The organization lists Samuel Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1033687413
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameETOWAH DIALYSIS LLC
Location Address1215 E BROAD ST, STE 20Tamaqua, PA 18252-2229
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(570) 668-3480
Fax(570) 668-3483
Organization SubpartNo
Authorized OfficialSamuel WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateNovember 5, 2018
Last NPPES UpdateApril 10, 20267 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1033687413 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
1215 E BROAD ST, Tamaqua, PA 18252
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Other Names 1

Doing Business AsSt Luke's Tamaqua Dialysis

Other Identifiers 1

Medicaid102924317PA

Accepted Insurance

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

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita St Luke's Tamaqua Dialysis (CMS certification number 392708), from CMS Care Compare.

DaVita St Luke's Tamaqua Dialysis

Dialysis facility · Tamaqua, PA
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number392708
ESRD NetworkNetwork 4
Hemodialysis Stations8
Medicare-Certified SinceDecember 29, 2003
Location1215 East Broad StreetTamaqua, PA 18252 · Schuylkill County
Phone(570) 668-3480
Services Offered
In-center hemodialysis Peritoneal dialysis

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRESENIUS MEDICAL CARE COMPREHENSIVE CKD SERVICES INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1215 E BROAD ST, CKD SERVICES OF TAMAQUA
TAMAQUA, PA 18252
Schuylkill County (570) 688-6494

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 Etowah Dialysis LLC's NPI number?

The NPI number for Etowah Dialysis LLC is 1033687413. It was assigned to this organization in the NPPES registry on November 5, 2018. The provider is doing business as St Luke's Tamaqua Dialysis.

Where is Etowah Dialysis LLC located?

Etowah Dialysis LLC is located at 1215 E Broad St Ste 20, Tamaqua, PA 18252. The listed phone number is (570) 668-3480.

What is Etowah 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 Etowah Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita St Luke's Tamaqua Dialysis is a Medicare-certified dialysis facility, certified since December 29, 2003.

What quality rating does Etowah Dialysis LLC have?

CMS rates DaVita St Luke's Tamaqua Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Etowah Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and UnitedHealthcare list Etowah 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 Etowah Dialysis LLC was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.