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TAHLEQUAH DIALYSIS CENTER
NPI 1740515378
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Tahlequah, OK

Active since October 15, 2009CLIA 37D0706595 · Waiver
1373 E BOONE ST, TAHLEQUAH, OK 74464(918) 431-0665(918) 431-0623 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 16, 2023, Feb 17, 2022, Aug 17, 2020 (3 updates tracked since 2020).

About Tahlequah Dialysis Center NPPES

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

TAHLEQUAH DIALYSIS CENTER (NPI 1740515378) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Tahlequah, Oklahoma and active in the NPI registry since October 2009. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Samuel Wey, Sr Director Licensure&certification, as its authorized official.

NPPES Registry Identity

NPI1740515378
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NamePLATTE DIALYSIS LLC
Location Address1373 E BOONE STTahlequah, OK 74464-3364
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 320-4268 · Fax (877) 238-0567
Phone(918) 431-0665
Fax(918) 431-0623
Organization SubpartNo
Authorized OfficialSamuel WeySr Director Licensure&certification · (615) 341-6641
Enumeration DateOctober 15, 2009
Last NPPES UpdateAugust 16, 20233 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
✔ NPI 1740515378 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
1373 E BOONE ST, Tahlequah, OK 74464
Open in Google Maps ↗

Other Names 1

Doing Business AsTahlequah Dialysis Center

Other Identifiers 1

Medicaid200296340AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 37D0706595

Tahlequah Dialysis Center · Tahlequah, OK
Active · expires Aug 31, 2026
CLIA Number37D0706595
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBilal Aziz
Laboratory Phone(918) 431-0665
Laboratory LocationTahlequah Dialysis Center1373 East Boone Street, Tahlequah, OK 74464
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 5

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

DR. BILAL AZIZ MD
Internal Medicine (Nephrology)
1373 E BOONE ST, SUITE 1201
TAHLEQUAH, OK 74464
Cherokee County (918) 207-1189
DR. GEORGE SHAKER COHLMIA JR. M.D.
Specialist
1373 E BOONE ST, SUITE 3400
TAHLEQUAH, OK 74464
Cherokee County (918) 456-9500
GARY SCOTT TAGGART PA-C
Physician Assistant (Surgical)
1373 E BOONE ST, SUITE 3401
TAHLEQUAH, OK 74464
Cherokee County (918) 456-6848
CARDIOVASCULAR SURGICAL SPECIALISTS CORP
Specialist
1373 E BOONE ST, SUITE 3400
TAHLEQUAH, OK 74464
Cherokee County (918) 456-9500
OSU CENTER FOR HEALTH SCIENCES
Clinic/Center
1373 E BOONE ST, SUITE #3401
TAHLEQUAH, OK 74464
Cherokee County (918) 561-8306

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 Platte Dialysis LLC's NPI number?

The NPI number for Platte Dialysis LLC is 1740515378. It was assigned to this organization in the NPPES registry on October 15, 2009. The provider is doing business as Tahlequah Dialysis Center.

Where is Platte Dialysis LLC located?

Platte Dialysis LLC is located at 1373 E Boone St, Tahlequah, OK 74464. The listed phone number is (918) 431-0665.

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

Yes. A Certificate of Waiver (number 37D0706595) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Platte Dialysis LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Platte 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 Platte Dialysis LLC was last updated on August 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.