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LOGAN DIALYSIS
NPI 1265603542
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Logan, OH

Active since March 14, 2008CLIA 36D1081485 · Waiver
3/5
Overall Rating
12880 GREY ST, LOGAN, OH 43138(740) 380-6049(740) 380-6280 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 2, 2024, Jan 4, 2024, Jul 3, 2023 and 4 more (7 updates tracked since 2019).

About Logan Dialysis NPPES

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

LOGAN DIALYSIS (NPI 1265603542) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Logan, Ohio and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through March 17, 2028 and lists Samuel T. Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1265603542
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTOTAL RENAL CARE INC
Location Address12880 GREY STLogan, OH 43138-9638
Mailing Address5200 Virginia Way, Att: L&c DeptBrentwood, TN 37027-7569
Phone(740) 380-6049
Fax(740) 380-6280
Organization SubpartNo
Authorized OfficialSamuel T. WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateMarch 14, 2008
Last NPPES UpdateMay 2, 20247 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
✔ NPI 1265603542 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
12880 GREY ST, Logan, OH 43138
Open in Google Maps ↗

Other Names 1

Doing Business AsLogan Dialysis

Other Identifiers 1

Medicaid2933026OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 36D1081485

Logan Dialysis · Logan, OH
Active · expires Mar 17, 2028
CLIA Number36D1081485
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorWilliam Wilmer
Laboratory Phone(740) 380-6049
Laboratory LocationLogan Dialysis12880 Grey Street, Logan, OH 43138
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 Logan Dialysis (CMS certification number 362732), from CMS Care Compare.

DaVita Logan Dialysis

Dialysis facility · Logan, OH
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number362732
ESRD NetworkNetwork 9
Hemodialysis Stations12
Medicare-Certified SinceDecember 10, 2008
Location12880 GREY STREETLogan, OH 43138 · Hocking County
Phone(740) 380-6049
Services Offered
In-center hemodialysis Peritoneal dialysis

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 Total Renal Care Inc's NPI number?

The NPI number for Total Renal Care Inc is 1265603542. It was assigned to this organization in the NPPES registry on March 14, 2008. The provider is doing business as Logan Dialysis.

Where is Total Renal Care Inc located?

Total Renal Care Inc is located at 12880 Grey St, Logan, OH 43138. The listed phone number is (740) 380-6049.

What is Total Renal Care Inc'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 Total Renal Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1081485) is associated with this NPI, valid through March 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Total Renal Care Inc a Medicare-certified dialysis facility?

Yes. DaVita Logan Dialysis is a Medicare-certified dialysis facility, certified since December 10, 2008.

What quality rating does Total Renal Care Inc have?

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

What insurance does Total Renal Care Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Total Renal Care Inc 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 Total Renal Care Inc was last updated on May 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.