FOREST PARK DIALYSIS CLINIC
NPI 1548201874
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Saint Louis, MO

Active since June 09, 2006CLIA 26D1053303 · Waiver
2/5
Overall Rating
2635 HAMPTON AVE, SAINT LOUIS, MO 63139(314) 646-1717(314) 646-0636 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 17, 2023, Aug 20, 2021 (2 updates tracked since 2021).

About Forest Park Dialysis Clinic NPPES

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

FOREST PARK DIALYSIS CLINIC (NPI 1548201874) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Saint Louis, Missouri and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 19, 2028 and lists Barry L. Blanton, Vice President, as its authorized official.

NPPES Registry Identity

NPI1548201874
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameNRA-ST. LOUIS, MISSOURI, LLC
Location Address2635 HAMPTON AVESaint Louis, MO 63139-2912
Mailing Address2635 Hampton AveSaint Louis, MO 63139-2912 · (314) 646-1717 · Fax (314) 646-0636
Fax(314) 646-0636
Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.
Authorized OfficialBarry L. BlantonVice President · (781) 699-9000
Enumeration DateJune 9, 2006
Last NPPES UpdateOctober 17, 20232 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
NPI 1548201874 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
License Licensed in MO · N/A
2635 HAMPTON AVE, Saint Louis, MO 63139

Other Names 1

Doing Business AsForest Park Dialysis Clinic

Other Identifiers 2

Medicaid506954502MO
Other26D1053303MO · Clia Certificate Of Waive

Accepted 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 26D1053303

Forest Park Dialysis Clinic · Saint Louis, MO
Active · expires Apr 19, 2028
CLIA Number26D1053303
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateApril 20, 2026
Certificate Expiration DateApril 19, 2028
Laboratory DirectorNicholas Gourtzelis
Laboratory Phone(314) 646-1717
Laboratory LocationForest Park Dialysis Clinic2635 Hampton Ave, Saint Louis, MO 63139
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 RAI Care Center -Hampton (CMS certification number 262614), from CMS Care Compare.

RAI Care Center -Hampton

Dialysis facility · Saint Louis, MO
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainFresenius Medical Care
CMS Certification Number262614
ESRD NetworkNetwork 12
Hemodialysis Stations24
Medicare-Certified SinceJuly 14, 2006
Location2635 Hampton AveSaint Louis, MO 63139 · Saint Louis City County
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 Nra-St. Louis, Missouri, LLC's NPI number?

The NPI number for Nra-St. Louis, Missouri, LLC is 1548201874. It was assigned to this organization in the NPPES registry on June 9, 2006. The provider is doing business as Forest Park Dialysis Clinic.

Where is Nra-St. Louis, Missouri, LLC located?

Nra-St. Louis, Missouri, LLC is located at 2635 Hampton Ave, Saint Louis, MO 63139. The listed phone number is (314) 646-1717.

What is Nra-St. Louis, Missouri, 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 Nra-St. Louis, Missouri, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1053303) is associated with this NPI, valid through April 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Nra-St. Louis, Missouri, LLC a Medicare-certified dialysis facility?

Yes. RAI Care Center -Hampton is a Medicare-certified dialysis facility, certified since July 14, 2006.

What quality rating does Nra-St. Louis, Missouri, LLC have?

CMS rates RAI Care Center -Hampton 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Nra-St. Louis, Missouri, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan, Inc. and Oscar Insurance Company and 2 other insurers list Nra-St. Louis, Missouri, 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 Nra-St. Louis, Missouri, LLC was last updated on October 17, 2023. 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.