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BROKEN ARROW DIALYSIS CENTER
NPI 1629030036
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Broken Arrow, OK

Active since April 03, 2006CLIA 37D2024208 · Waiver
3/5
Overall Rating
1710 N 9TH ST, BROKEN ARROW, OK 74012(918) 355-0657(918) 355-2800 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broken Arrow Dialysis Center NPPES

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

BROKEN ARROW DIALYSIS CENTER (NPI 1629030036) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Broken Arrow, Oklahoma and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through May 10, 2027 and lists James K Hilger, Vice President, as its authorized official.

NPPES Registry Identity

NPI1629030036
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRENAL TREATMENT CENTERS WEST INC
Location Address1710 N 9TH STBroken Arrow, OK 74012-8283
Mailing Address5200 Virginia Way, Ste 400 L&cBrentwood, TN 37027-7569 · (615) 341-5846 · Fax (866) 566-2293
Phone(918) 355-0657
Fax(918) 355-2800
Organization SubpartNo
Authorized OfficialJames K HilgerVice President · (253) 382-1919
Enumeration DateApril 3, 2006
Last NPPES UpdateFebruary 9, 2012
✔ NPI 1629030036 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
1710 N 9TH ST, Broken Arrow, OK 74012
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Other Names 1

Doing Business AsBroken Arrow Dialysis Center

Other Identifiers 2

Medicaid100741140GOK
Medicare OSCAR/certification372516

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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 37D2024208

Broken Arrow Dialysis Center · Broken Arrow, OK
Active · expires May 10, 2027
CLIA Number37D2024208
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMay 11, 2025
Certificate Expiration DateMay 10, 2027
Laboratory DirectorRobert Gold
Laboratory Phone(918) 355-0657
Laboratory LocationBroken Arrow Dialysis Center1710 North 9th Street, Broken Arrow, OK 74012
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 Broken Arrow Dialysis Center (CMS certification number 372516), from CMS Care Compare.

DaVita Broken Arrow Dialysis Center

Dialysis facility · Broken Arrow, OK
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number372516
ESRD NetworkNetwork 13
Hemodialysis Stations16
Medicare-Certified SinceSeptember 23, 1991
Location1710 N 9TH STBroken Arrow, OK 74012 · Tulsa County
Phone(918) 355-0657
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES

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

SOUTHLAKE DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1710 N 9TH ST
BROKEN ARROW, OK 74012
Tulsa County (918) 355-0657

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 Renal Treatment Centers West Inc's NPI number?

The NPI number for Renal Treatment Centers West Inc is 1629030036. It was assigned to this organization in the NPPES registry on April 3, 2006. The provider is doing business as Broken Arrow Dialysis Center.

Where is Renal Treatment Centers West Inc located?

Renal Treatment Centers West Inc is located at 1710 N 9th St, Broken Arrow, OK 74012. The listed phone number is (918) 355-0657.

What is Renal Treatment Centers West 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 Renal Treatment Centers West Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2024208) is associated with this NPI, valid through May 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Renal Treatment Centers West Inc a Medicare-certified dialysis facility?

Yes. DaVita Broken Arrow Dialysis Center is a Medicare-certified dialysis facility, certified since September 23, 1991.

What quality rating does Renal Treatment Centers West Inc have?

CMS rates DaVita Broken Arrow Dialysis Center 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Renal Treatment Centers West Inc accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Renal Treatment Centers West 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 Renal Treatment Centers West Inc was last updated on February 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.