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NORTH VERNON DIALYSIS
NPI 1043475312
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in North Vernon, IN

Active since July 25, 2008CLIA 15D1088112 · Waiver
3/5
Overall Rating
2340 NORTH STATE HIGHWAY 7, NORTH VERNON, IN 47265(812) 352-8150(812) 352-8204 Get Directions Write a Review

NPPES record last updated: October 16, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About North Vernon Dialysis NPPES

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

NORTH VERNON DIALYSIS (NPI 1043475312) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in North Vernon, Indiana and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through August 17, 2026 and lists Jim Hilger, Vice President, as its authorized official.

NPPES Registry Identity

NPI1043475312
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSOUTHEASTERN INDIANA DIALYSIS LLC
Location Address2340 NORTH STATE HIGHWAY 7North Vernon, IN 47265-7183
Mailing Address5200 Virginia Way, Ste 400 L&cBrentwood, TN 37027-7569 · (615) 320-4521 · Fax (866) 594-2894
Phone(812) 352-8150
Fax(812) 352-8204
Organization SubpartNo
Authorized OfficialJim HilgerVice President · (253) 382-1919
Enumeration DateJuly 25, 2008
Last NPPES UpdateOctober 16, 2009
✔ NPI 1043475312 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
2340 NORTH STATE HIGHWAY 7, North Vernon, IN 47265
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Other Names 1

Doing Business AsNorth Vernon Dialysis

Other Identifiers 2

Medicaid200945790AIN
Medicare OSCAR/certification152636

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D1088112

North Vernon Dialysis · North Vernon, IN
Active · expires Aug 17, 2026
CLIA Number15D1088112
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 18, 2024
Certificate Expiration DateAugust 17, 2026
Laboratory DirectorKiran Chintam
Laboratory Phone(812) 352-8150
Laboratory LocationNorth Vernon Dialysis2340 N State Hwy 7, North Vernon, IN 47265
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita North Vernon Dialysis (CMS certification number 152636), from CMS Care Compare.

DaVita North Vernon Dialysis

Dialysis facility · North Vernon, IN
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number152636
ESRD NetworkNetwork 9
Hemodialysis Stations10
Medicare-Certified SinceMarch 23, 2009
Location2340 NORTH STATE HWY 7North Vernon, IN 47265 · Jennings County
Phone(812) 352-8150
Services Offered
In-center hemodialysis

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 Southeastern Indiana Dialysis LLC's NPI number?

The NPI number for Southeastern Indiana Dialysis LLC is 1043475312. It was assigned to this organization in the NPPES registry on July 25, 2008. The provider is doing business as North Vernon Dialysis.

Where is Southeastern Indiana Dialysis LLC located?

Southeastern Indiana Dialysis LLC is located at 2340 North State Highway 7, North Vernon, IN 47265. The listed phone number is (812) 352-8150.

What is Southeastern Indiana 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.

Does Southeastern Indiana Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1088112) is associated with this NPI, valid through August 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Southeastern Indiana Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita North Vernon Dialysis is a Medicare-certified dialysis facility, certified since March 23, 2009.

What quality rating does Southeastern Indiana Dialysis LLC have?

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

When was this NPI record last updated?

The NPPES record for Southeastern Indiana Dialysis LLC was last updated on October 16, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.