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SANDERLING DIALYSIS CENTER OF HOLDENVILLE
NPI 1124377460
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Holdenville, OK

Active since August 31, 2012CLIA 37D2054484 · Waiver
1/5
Overall Rating
102 CRESTVIEW ST, HOLDENVILLE, OK 74848(615) 467-0140 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sanderling Dialysis Center Of Holdenville NPPES

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

SANDERLING DIALYSIS CENTER OF HOLDENVILLE (NPI 1124377460) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Holdenville, Oklahoma and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through February 20, 2027 and lists Jereome S Tannenbaum, Administrator, as its authorized official.

NPPES Registry Identity

NPI1124377460
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSANDERLING RENAL SERVICES OF HOLDENVILLE
Location Address102 CRESTVIEW STHoldenville, OK 74848-2844
Mailing AddressPo Box 198813Nashville, TN 37219-8813 · (615) 467-0140 · Fax (615) 259-0693
Phone(615) 467-0140
Organization SubpartNo
Authorized OfficialJereome S TannenbaumAdministrator · (615) 467-0140
Enumeration DateAugust 31, 2012
Last NPPES UpdateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1124377460 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
102 CRESTVIEW ST, Holdenville, OK 74848
Open in Google Maps ↗

Other Names 1

Doing Business AsSanderling Dialysis Center Of Holdenville

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, UnitedHealthcare.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 37D2054484

Sanderling Renal Services Of Holdenville, LLC · Holdenville, OK
Active · expires Feb 20, 2027
CLIA Number37D2054484
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 21, 2025
Certificate Expiration DateFebruary 20, 2027
Laboratory DirectorJerome S. Tannenbaum
Laboratory Phone(405) 221-8101
Laboratory LocationSanderling Renal Services Of Holdenville, LLC102 Crestview Drive, Holdenville, OK 74848
CLIA data matches this NPI record on: Name
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 Sanderling Dialysis Center Of Holdenville (CMS certification number 372589), from CMS Care Compare.

Sanderling Dialysis Center Of Holdenville

Dialysis facility · Holdenville, OK
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainOther
CMS Certification Number372589
ESRD NetworkNetwork 13
Hemodialysis Stations16
Medicare-Certified SinceMay 24, 2013
Location102 CRESTVIEW DRHoldenville, OK 74848 · Hughes County
Phone(855) 759-7365
Services Offered
In-center hemodialysis 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 Sanderling Renal Services Of Holdenville's NPI number?

The NPI number for Sanderling Renal Services Of Holdenville is 1124377460. It was assigned to this organization in the NPPES registry on August 31, 2012. The provider is doing business as Sanderling Dialysis Center Of Holdenville.

Where is Sanderling Renal Services Of Holdenville located?

Sanderling Renal Services Of Holdenville is located at 102 Crestview St, Holdenville, OK 74848. The listed phone number is (615) 467-0140.

What is Sanderling Renal Services Of Holdenville'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 Sanderling Renal Services Of Holdenville hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2054484) is associated with this NPI, valid through February 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Sanderling Renal Services Of Holdenville a Medicare-certified dialysis facility?

Yes. Sanderling Dialysis Center Of Holdenville is a Medicare-certified dialysis facility, certified since May 24, 2013.

What quality rating does Sanderling Renal Services Of Holdenville have?

CMS rates Sanderling Dialysis Center Of Holdenville 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Sanderling Renal Services Of Holdenville accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and UnitedHealthcare list Sanderling Renal Services Of Holdenville 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 Sanderling Renal Services Of Holdenville was last updated on March 27, 2024. 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.