JACKSON DIALYSIS
NPI 1669850863
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Jackson, MI

Q: What is Renal Treatment Centers-Illinois 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.

Active since May 08, 2015CLIA 23D0949630 · Waiver

234 W LOUIS GLICK HWY, JACKSON, MI 49201(517) 841-1712(517) 841-1724 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 4, 2024, Feb 5, 2024, Aug 25, 2023 and 2 more (5 updates tracked since 2019).

On this page

About Jackson Dialysis NPPES

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

JACKSON DIALYSIS (NPI 1669850863) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Jackson, Michigan and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through August 5, 2026 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1669850863

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameRENAL TREATMENT CENTERS-ILLINOIS INC.

Location Address234 W LOUIS GLICK HWYJackson, MI 49201-1326

Mailing Address5200 Virginia Way, Att: L&c DepartmentBrentwood, TN 37027-7569

Phone(517) 841-1712

Fax(517) 841-1724

Organization SubpartNo

Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641

Enumeration DateMay 8, 2015

Last NPPES UpdateJune 4, 20245 updates tracked since enumeration

NPPES CertifiedJune 4, 2024

✔ NPI 1669850863 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

234 W LOUIS GLICK HWY, Jackson, MI 49201

Open in Google Maps ↗

Other Names 1

Doing Business AsJackson Dialysis

Other Identifiers 1

Medicaid1952362469MI

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 ›

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 23D0949630

Jackson Dialysis · Jackson, MI

Active · expires Aug 5, 2026

CLIA Number23D0949630

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateAugust 6, 2024

Certificate Expiration DateAugust 5, 2026

Laboratory DirectorGeorge M. Behrend

Laboratory Phone(517) 841-1712

Laboratory LocationJackson Dialysis234 W Louis Glick Hwy Suite 100, Jackson, MI 49201

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

KIDNEY CENTERS OF MICHIGAN LLC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

234 W LOUIS GLICK HWY, STE 100
JACKSON, MI 49201

Jackson County (517) 841-1712

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-Illinois Inc.'s NPI number?

The NPI number for Renal Treatment Centers-Illinois Inc. is 1669850863. It was assigned to this organization in the NPPES registry on May 8, 2015.

Where is Renal Treatment Centers-Illinois Inc. located?

Renal Treatment Centers-Illinois Inc. is located at 234 W Louis Glick Hwy, Jackson, MI 49201. The listed phone number is (517) 841-1712.

What is Renal Treatment Centers-Illinois 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-Illinois Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0949630) is associated with this NPI, valid through August 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Renal Treatment Centers-Illinois Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Renal Treatment Centers-Illinois 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-Illinois Inc. was last updated on June 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.