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DIALYSIS AT MANKATO CLINIC
NPI 1538414941
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Mankato, MN

Active since July 23, 2012CLIA 24D2048442 · Waiver
4/5
Overall Rating
1400 MADISON AVE STE 400, MANKATO, MN 56001(507) 385-0432(507) 385-1584 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2020, Apr 4, 2019 (2 updates tracked since 2019).

About Dialysis At Mankato Clinic NPPES

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

DIALYSIS AT MANKATO CLINIC (NPI 1538414941) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Mankato, Minnesota and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through October 15, 2026 and lists John Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1538414941
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameFANTHORP DIALYSIS LLC
Location Address1400 MADISON AVE STE 400Mankato, MN 56001-5476
Mailing Address5200 Virginia WayBrentwood, TN 37027-7569 · (615) 320-4514 · Fax (866) 594-9961
Phone(507) 385-0432
Fax(507) 385-1584
Organization SubpartNo
Authorized OfficialJohn WinstelChief Accounting Officer · (253) 733-4501
Enumeration DateJuly 23, 2012
Last NPPES UpdateOctober 20, 20202 updates tracked since enumeration
NPPES CertifiedOctober 20, 2020
✔ NPI 1538414941 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
1400 MADISON AVE STE 400, Mankato, MN 56001
Open in Google Maps ↗

Other Names 1

Doing Business AsDialysis At Mankato Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), HealthPartners 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 24D2048442

Dialysis At Mankato Clinic · Mankato, MN
Active · expires Oct 15, 2026
CLIA Number24D2048442
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorKarl P. Roos
Laboratory Phone(507) 385-0432
Laboratory LocationDialysis At Mankato Clinic1400 Madison Avenue, Mankato, MN 56001
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 Dialysis at Mankato Clinic (CMS certification number 242585), from CMS Care Compare.

DaVita Dialysis at Mankato Clinic

Dialysis facility · Mankato, MN
4/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number242585
ESRD NetworkNetwork 11
Hemodialysis Stations12
Medicare-Certified SinceFebruary 27, 2013
Location1400 MADISON AVE STE 400Mankato, MN 56001 · Blue Earth County
Phone(507) 385-0432
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

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 Fanthorp Dialysis LLC's NPI number?

The NPI number for Fanthorp Dialysis LLC is 1538414941. It was assigned to this organization in the NPPES registry on July 23, 2012. The provider is doing business as Dialysis At Mankato Clinic.

Where is Fanthorp Dialysis LLC located?

Fanthorp Dialysis LLC is located at 1400 Madison Ave Ste 400, Mankato, MN 56001. The listed phone number is (507) 385-0432.

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

Yes. A Certificate of Waiver (number 24D2048442) is associated with this NPI, valid through October 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Fanthorp Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Dialysis at Mankato Clinic is a Medicare-certified dialysis facility, certified since February 27, 2013.

What quality rating does Fanthorp Dialysis LLC have?

CMS rates DaVita Dialysis at Mankato Clinic 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Fanthorp Dialysis LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), HealthPartners, Medica and Sanford Health Plan and 1 other insurer list Fanthorp 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 Fanthorp Dialysis LLC was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.