CHERRY VALLEY DIALYSIS
NPI 1194970699
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Newark, OH

Active since November 25, 2008CLIA 36D1095395 · Waiver
1627 W MAIN ST, NEWARK, OH 43055(740) 522-1699(740) 522-1555 Get Directions Write a Review

NPPES record last updated: October 26, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cherry Valley Dialysis NPPES

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

CHERRY VALLEY DIALYSIS (NPI 1194970699) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Newark, Ohio and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through February 5, 2027 and lists Jim Hilger, Vice President, as its authorized official.

NPPES Registry Identity

NPI1194970699
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameCHERRY VALLEY DIALYSIS LLC
Location Address1627 W MAIN STNewark, OH 43055-1345
Mailing Address5200 Virginia Way, Ste 400 L&cBrentwood, TN 37027-7569 · (615) 320-4521 · Fax (866) 594-2894
Fax(740) 522-1555
Organization SubpartNo
Authorized OfficialJim HilgerVice President · (253) 382-1919
Enumeration DateNovember 25, 2008
Last NPPES UpdateOctober 26, 2009
NPI 1194970699 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
1627 W MAIN ST, Newark, OH 43055

Other Names 1

Doing Business AsCherry Valley Dialysis

Other Identifiers 1

Medicare OSCAR/certification362744

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 36D1095395

Cherry Valley Dialysis · Newark, OH
Active · expires Feb 5, 2027
CLIA Number36D1095395
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorHintsa A. Tewoldemedhin MD
Laboratory Phone(740) 522-1699
Laboratory LocationCherry Valley Dialysis1627 West Main Street, Newark, OH 43055
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1627 W MAIN ST
NEWARK, OH 43055

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 Cherry Valley Dialysis LLC's NPI number?

The NPI number for Cherry Valley Dialysis LLC is 1194970699. It was assigned to this organization in the NPPES registry on November 25, 2008. The provider is doing business as Cherry Valley Dialysis.

Where is Cherry Valley Dialysis LLC located?

Cherry Valley Dialysis LLC is located at 1627 W Main St, Newark, OH 43055. The listed phone number is (740) 522-1699.

What is Cherry Valley 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 Cherry Valley Dialysis LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1095395) is associated with this NPI, valid through February 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cherry Valley Dialysis LLC was last updated on October 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.