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TRI-STATE DIALYSIS MANCHESTER
NPI 1710930086
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Manchester, IA

Active since May 18, 2006CLIA 16D2010943 · Waiver
3/5
Overall Rating
107 S 11TH ST STE 2, MANCHESTER, IA 52057(563) 927-2532(563) 927-5579 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 10, 2022, Apr 9, 2020, Nov 6, 2019 (3 updates tracked since 2019).

About Tri-state Dialysis Manchester NPPES

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

TRI-STATE DIALYSIS MANCHESTER (NPI 1710930086) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Manchester, Iowa and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 8, 2026 and lists Mariah Ann Brandenburg, Administration, as its authorized official.

NPPES Registry Identity

NPI1710930086
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDUBUQUE INTERNAL MEDICINE PC
Location Address107 S 11TH ST STE 2Manchester, IA 52057-2220
Mailing Address1515 Delhi St, Ste 100Dubuque, IA 52001-6320 · (563) 557-9111 · Fax (563) 589-4046
Phone(563) 927-2532
Fax(563) 927-5579
Organization SubpartNo
Authorized OfficialMariah Ann BrandenburgAdministration · (563) 589-4066
Enumeration DateMay 18, 2006
Last NPPES UpdateAugust 28, 20243 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
✔ NPI 1710930086 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
107 S 11TH ST STE 2, Manchester, IA 52057
Open in Google Maps ↗

Other Names 1

Doing Business AsTri-state Dialysis Manchester

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 16D2010943

Tri State Dialysis · Manchester, IA
Active · expires Aug 8, 2026
CLIA Number16D2010943
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 9, 2024
Certificate Expiration DateAugust 8, 2026
Laboratory DirectorKristine Bartels
Laboratory Phone(563) 927-2532
Laboratory LocationTri State Dialysis107 S 11th Street, Suite 2, Manchester, IA 52057
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 Tri- State Dialysis - Manchester (CMS certification number 162511), from CMS Care Compare.

Tri- State Dialysis - Manchester

Dialysis facility · Manchester, IA
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
CMS Certification Number162511
ESRD NetworkNetwork 12
Hemodialysis Stations12
Medicare-Certified SinceJune 19, 1997
Location107 S 11th St Suite 2Manchester, IA 52057 · Delaware County
Phone(563) 927-2532
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.

JWDR DIALYSIS, PLLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
107 S 11TH ST STE 2
MANCHESTER, IA 52057
Delaware County (608) 778-5345

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 Dubuque Internal Medicine PC's NPI number?

The NPI number for Dubuque Internal Medicine PC is 1710930086. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Tri-State Dialysis Manchester.

Where is Dubuque Internal Medicine PC located?

Dubuque Internal Medicine PC is located at 107 S 11th St Ste 2, Manchester, IA 52057. The listed phone number is (563) 927-2532.

What is Dubuque Internal Medicine PC'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 Dubuque Internal Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2010943) is associated with this NPI, valid through August 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Dubuque Internal Medicine PC a Medicare-certified dialysis facility?

Yes. Tri- State Dialysis - Manchester is a Medicare-certified dialysis facility, certified since June 19, 1997.

What quality rating does Dubuque Internal Medicine PC have?

CMS rates Tri- State Dialysis - Manchester 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

When was this NPI record last updated?

The NPPES record for Dubuque Internal Medicine PC was last updated on August 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.