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WAYNE COUNTY DIALYSIS
NPI 1295920387
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fairfield, IL

Active since September 11, 2007CLIA 14D1074817 · Waiver
1/5
Overall Rating
303 NW 11TH ST, STE 1, FAIRFIELD, IL 62837(618) 842-7204(618) 842-7279 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2024, Dec 13, 2023, Jan 23, 2019 and 1 more (4 updates tracked since 2017).

About Wayne County Dialysis NPPES

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

WAYNE COUNTY DIALYSIS (NPI 1295920387) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fairfield, Illinois and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through October 8, 2027 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1295920387
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTOTAL RENAL CARE INC
Location Address303 NW 11TH ST, STE 1Fairfield, IL 62837-1203
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(618) 842-7204
Fax(618) 842-7279
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateSeptember 11, 2007
Last NPPES UpdateMay 14, 20244 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
✔ NPI 1295920387 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
303 NW 11TH ST, Fairfield, IL 62837
Open in Google Maps ↗

Other Names 1

Doing Business AsWayne County Dialysis

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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 14D1074817

Wayne County Dialysis · Fairfield, IL
Active · expires Oct 8, 2027
CLIA Number14D1074817
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 9, 2025
Certificate Expiration DateOctober 8, 2027
Laboratory DirectorSteven Zelman
Laboratory Phone(269) 343-0250
Laboratory LocationWayne County Dialysis303 NW 11th Street, Fairfield, IL 62837
CLIA data matches this NPI record on: Address 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 DaVita Wayne County Dialysis (CMS certification number 142688), from CMS Care Compare.

DaVita Wayne County Dialysis

Dialysis facility · Fairfield, IL
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number142688
ESRD NetworkNetwork 10
Hemodialysis Stations8
Medicare-Certified SinceMarch 13, 2008
Location303 N. W. 11TH STREET, SUITE 1Fairfield, IL 62837 · Wayne County
Phone(618) 842-7204
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES 20

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

WHITNEY ELAINE BUCKLES RD, LDN
Dietitian, Registered
303 NW 11TH ST
FAIRFIELD, IL 62837
Wayne County (618) 847-8326
DANA SHANTEL TAYLOR LCSW
Social Worker (Clinical)
303 NW 11TH ST
FAIRFIELD, IL 62837
Wayne County (618) 847-8362
FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION
Clinic/Center (Rural Health)
303 NW 11TH ST
FAIRFIELD, IL 62837
Wayne County (618) 842-2611
MRS. MARY LOU MCCULLEY RN CDE
Health Educator
303 NW 11TH ST
FAIRFIELD, IL 62837
Wayne County (618) 842-2611
DEANDRA MARISSAH THOMPSON PA
Physician Assistant
303 NW 11TH ST
FAIRFIELD, IL 62837
Wayne County (618) 842-2611
MASON SPITZNER CRNA
Nurse Anesthetist, Certified Registered
303 NW 11TH ST
FAIRFIELD, IL 62837
Wayne County (618) 842-2611
FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION
General Acute Care Hospital (Critical Access)
303 NW 11TH ST
FAIRFIELD, IL 62837
Wayne County (618) 847-8260
FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION
Skilled Nursing Facility
303 NW 11TH ST
FAIRFIELD, IL 62837
Wayne County (618) 842-2611

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 1295920387. It was assigned to this organization in the NPPES registry on September 11, 2007. The provider is doing business as Wayne County Dialysis.

Where is Total Renal Care Inc located?

Total Renal Care Inc is located at 303 NW 11th St Ste 1, Fairfield, IL 62837. The listed phone number is (618) 842-7204.

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 14D1074817) is associated with this NPI, valid through October 8, 2027. 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 Wayne County Dialysis is a Medicare-certified dialysis facility, certified since March 13, 2008.

What quality rating does Total Renal Care Inc have?

CMS rates DaVita Wayne County Dialysis 1 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 Health of Delaware, Ambetter from Home State Health and UnitedHealthcare 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 14, 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.