KIDNEY DISEASE AND DIALYSIS OF MAGNOLIA
NPI 1396807871
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Magnolia, AR

Active since December 14, 2006CLIA 04D0864243 · Waiver
1411 N JACKSON, MAGNOLIA, AR 71753(870) 234-4945(870) 772-7692 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 24, 2023, Mar 13, 2020 (2 updates tracked since 2020).

About Kidney Disease And Dialysis Of Magnolia NPPES

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

KIDNEY DISEASE AND DIALYSIS OF MAGNOLIA (NPI 1396807871) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Magnolia, Arkansas and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Dennis Michael Blankenship, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1396807871
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTEXARKANA KIDNEY DISEASE & HYPERTENSION CENTER, INC.
Location Address1411 N JACKSONMagnolia, AR 71753-2017
Mailing Address422 Beech StTexarkana, AR 71854-5310 · (870) 773-1111 · Fax (870) 772-7692
Fax(870) 772-7692
Organization SubpartNo
Authorized OfficialDennis Michael BlankenshipPresident/ceo · (870) 773-1111
Enumeration DateDecember 14, 2006
Last NPPES UpdateJanuary 24, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2023
NPI 1396807871 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
1411 N JACKSON, Magnolia, AR 71753

Other Names 1

Doing Business AsKidney Disease And Dialysis Of Magnolia

Other Identifiers 1

Medicaid113797134AR

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 04D0864243

Kidney Disease & Dialysis Of Magnolia · Magnolia, AR
Active · expires Aug 31, 2026
CLIA Number04D0864243
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMichael Blankenship M D
Laboratory Phone(870) 234-4945
Laboratory LocationKidney Disease & Dialysis Of Magnolia1411 N Jackson, Magnolia, AR 71753
CLIA data matches this NPI record on: Address 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 Kidney Disease And Dialysis Clinic Of Magnolia (CMS certification number 042515), from CMS Care Compare.

Kidney Disease And Dialysis Clinic Of Magnolia

Dialysis facility · Magnolia, AR
OwnershipProfit
CMS Certification Number042515
ESRD NetworkNetwork 13
Hemodialysis Stations12
Medicare-Certified SinceSeptember 2, 1987
Location1411 N JACKSONMagnolia, AR 71754 · Columbia County
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 Texarkana Kidney Disease & Hypertension Center, Inc.'s NPI number?

The NPI number for Texarkana Kidney Disease & Hypertension Center, Inc. is 1396807871. It was assigned to this organization in the NPPES registry on December 14, 2006. The provider is doing business as Kidney Disease And Dialysis Of Magnolia.

Where is Texarkana Kidney Disease & Hypertension Center, Inc. located?

Texarkana Kidney Disease & Hypertension Center, Inc. is located at 1411 N Jackson, Magnolia, AR 71753. The listed phone number is (870) 234-4945.

What is Texarkana Kidney Disease & Hypertension Center, 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 Texarkana Kidney Disease & Hypertension Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0864243) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Texarkana Kidney Disease & Hypertension Center, Inc. a Medicare-certified dialysis facility?

Yes. Kidney Disease And Dialysis Clinic Of Magnolia is a Medicare-certified dialysis facility, certified since September 2, 1987.

When was this NPI record last updated?

The NPPES record for Texarkana Kidney Disease & Hypertension Center, Inc. was last updated on January 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.