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COLLEGE CITY DIALYSIS
NPI 1073010518
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Conway, AR

Active since April 11, 2018CLIA 04D2151358 · Waiver
1/5
Overall Rating
2630 DONAGHEY AVE, CONWAY, AR 72032(501) 504-2474(501) 504-2611 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 9, 2023, Apr 5, 2023, Aug 21, 2020 and 2 more (5 updates tracked since 2018).

About College City Dialysis NPPES

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

COLLEGE CITY DIALYSIS (NPI 1073010518) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Conway, Arkansas and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through July 16, 2028 and lists Samuel T Wey, Sr Director Licensure&certification, as its authorized official.

NPPES Registry Identity

NPI1073010518
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTOLTEC DIALYSIS LLC
Location Address2630 DONAGHEY AVEConway, AR 72032-2308
Mailing Address5200 Virginia Way, L& C DeptBrentwood, TN 37027-7569 · (615) 320-4268 · Fax (877) 238-0567
Phone(501) 504-2474
Fax(501) 504-2611
Organization SubpartNo
Authorized OfficialSamuel T WeySr Director Licensure&certification · (615) 341-6641
Enumeration DateApril 11, 2018
Last NPPES UpdateOctober 9, 20235 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
✔ NPI 1073010518 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
2630 DONAGHEY AVE, Conway, AR 72032
Open in Google Maps ↗

Other Names 1

Doing Business AsCollege City Dialysis

Other Identifiers 1

Medicaid230940134AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 04D2151358

College City Dialysis · Conway, AR
Active · expires Jul 16, 2028
CLIA Number04D2151358
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJuly 17, 2026
Certificate Expiration DateJuly 16, 2028
Laboratory DirectorKashef Rasheed
Laboratory Phone(501) 504-2474
Laboratory LocationCollege City Dialysis2630 Donaghey Ave, Conway, AR 72032
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 College City Dialysis (CMS certification number 042598), from CMS Care Compare.

DaVita College City Dialysis

Dialysis facility · Conway, AR
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number042598
ESRD NetworkNetwork 13
Hemodialysis Stations20
Medicare-Certified SinceOctober 12, 2018
Location2630 DONAGHEY AVEConway, AR 72032 · Faulkner County
Phone(501) 504-2474
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 Toltec Dialysis LLC's NPI number?

The NPI number for Toltec Dialysis LLC is 1073010518. It was assigned to this organization in the NPPES registry on April 11, 2018. The provider is doing business as College City Dialysis.

Where is Toltec Dialysis LLC located?

Toltec Dialysis LLC is located at 2630 Donaghey Ave, Conway, AR 72032. The listed phone number is (501) 504-2474.

What is Toltec 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 Toltec Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2151358) is associated with this NPI, valid through July 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Toltec Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita College City Dialysis is a Medicare-certified dialysis facility, certified since October 12, 2018.

What quality rating does Toltec Dialysis LLC have?

CMS rates DaVita College City Dialysis 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Toltec Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and Ambetter from Magnolia Health and 8 other insurers list Toltec 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 Toltec Dialysis LLC was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.