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MANZANO DIALYSIS LLC
NPI 1306162581
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fairborn, OH

Active since April 14, 2010
1266 N BROAD ST, FAIRBORN, OH 45324(937) 879-0433(937) 879-0589 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2024, Oct 23, 2023, Feb 2, 2023 and 4 more (7 updates tracked since 2020).

About Manzano Dialysis Llc NPPES

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

MANZANO DIALYSIS LLC (NPI 1306162581), doing business as Midwest Fairborn Dialysis, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fairborn, Ohio and active in the NPI registry since April 2010. The organization lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1306162581
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameMANZANO DIALYSIS LLC
Location Address1266 N BROAD STFairborn, OH 45324-5549
Mailing Address5200 Virginia Way, Att: L&c DeptBrentwood, TN 37027-7569
Phone(937) 879-0433
Fax(937) 879-0589
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateApril 14, 2010
Last NPPES UpdateOctober 1, 20257 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
✔ NPI 1306162581 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
1266 N BROAD ST, Fairborn, OH 45324
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Other Names 1

Doing Business AsMidwest Fairborn Dialysis

Other Identifiers 1

Medicaid3071027OH

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 ›

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Midwest Fairborn Dialysis (CMS certification number 362645), from CMS Care Compare.

DaVita Midwest Fairborn Dialysis

Dialysis facility · Fairborn, OH
OwnershipProfit
ChainDaVita
CMS Certification Number362645
ESRD NetworkNetwork 9
Hemodialysis Stations19
Medicare-Certified SinceJanuary 1, 2002
Location1266 NORTH BROAD ST.Fairborn, OH 45324 · Greene County
Phone(937) 879-0433
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training Evening shifts (after 5 PM)

Other Providers at the Same Location NPPES 2

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

COMMUNITY/PHYSICIANS DIALYSIS CENTER FAIRBORN, LIMITED
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1266 N BROAD ST
FAIRBORN, OH 45324
Greene County (937) 879-0433
UPPER VALLEY KIDNEY CLINIC
Internal Medicine (Nephrology)
1266 N BROAD ST
FAIRBORN, OH 45324
Greene County (937) 879-0433

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 Manzano Dialysis LLC's NPI number?

The NPI number for Manzano Dialysis LLC is 1306162581. It was assigned to this organization in the NPPES registry on April 14, 2010. The provider is doing business as Midwest Fairborn Dialysis.

Where is Manzano Dialysis LLC located?

Manzano Dialysis LLC is located at 1266 N Broad St, Fairborn, OH 45324. The listed phone number is (937) 879-0433.

What is Manzano 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.

Is Manzano Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Midwest Fairborn Dialysis is a Medicare-certified dialysis facility, certified since January 1, 2002.

What insurance does Manzano Dialysis LLC 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 Manzano 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 Manzano Dialysis LLC was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.