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SOUTH CITY DIALYSIS
NPI 1245580570
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Saint Louis, MO

Active since September 13, 2012CLIA 26D2049043 · Waiver
2/5
Overall Rating
3740 S JEFFERSON AVE, SAINT LOUIS, MO 63118(314) 664-6687(314) 772-1614 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2023, May 12, 2022, Jul 1, 2020 and 2 more (5 updates tracked since 2018).

About South City Dialysis NPPES

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

SOUTH CITY DIALYSIS (NPI 1245580570) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Saint Louis, Missouri and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through October 29, 2026 and lists Samuel Wey, Sr Dir Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1245580570
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRAINER DIALYSIS LLC
Location Address3740 S JEFFERSON AVESaint Louis, MO 63118-3905
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 341-6264 · Fax (800) 297-2925
Phone(314) 664-6687
Fax(314) 772-1614
Organization SubpartNo
Authorized OfficialSamuel WeySr Dir Licensure & Certification · (615) 341-6641
Enumeration DateSeptember 13, 2012
Last NPPES UpdateSeptember 8, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
✔ NPI 1245580570 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
3740 S JEFFERSON AVE, Saint Louis, MO 63118
Open in Google Maps ↗

Other Names 1

Doing Business AsSouth City Dialysis

Other Identifiers 1

Medicaid1245580570MO

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 Sunflower Health Plan 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 26D2049043

South City Dialysis · Saint Louis, MO
Active · expires Oct 29, 2026
CLIA Number26D2049043
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 30, 2024
Certificate Expiration DateOctober 29, 2026
Laboratory DirectorNabil Hanna Tauk
Laboratory Phone(314) 664-6687
Laboratory LocationSouth City Dialysis3740 South Jefferson Avenue, Saint Louis, MO 63118
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 South City Dialysis (CMS certification number 262654), from CMS Care Compare.

DaVita South City Dialysis

Dialysis facility · Saint Louis, MO
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number262654
ESRD NetworkNetwork 12
Hemodialysis Stations12
Medicare-Certified SinceJanuary 16, 2013
Location3740 S Jefferson AveSaint Louis, MO 63118 · Saint Louis City County
Phone(314) 664-6687
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 Rainer Dialysis LLC's NPI number?

The NPI number for Rainer Dialysis LLC is 1245580570. It was assigned to this organization in the NPPES registry on September 13, 2012. The provider is doing business as South City Dialysis.

Where is Rainer Dialysis LLC located?

Rainer Dialysis LLC is located at 3740 S Jefferson Ave, Saint Louis, MO 63118. The listed phone number is (314) 664-6687.

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

Yes. A Certificate of Waiver (number 26D2049043) is associated with this NPI, valid through October 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Rainer Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita South City Dialysis is a Medicare-certified dialysis facility, certified since January 16, 2013.

What quality rating does Rainer Dialysis LLC have?

CMS rates DaVita South City Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Rainer Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 11 other insurers list Rainer 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 Rainer Dialysis LLC was last updated on September 8, 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.