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CASS LAKE DIALYSIS FACILITY
NPI 1770548422
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Cass Lake, MN

Active since April 18, 2006CLIA 24D0902194 · Waiver
3/5
Overall Rating
602 3RD ST NW, CASS LAKE, MN 56633(218) 335-4095(218) 335-4188 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 24, 2024, Dec 13, 2022, Sep 8, 2020 and 1 more (4 updates tracked since 2019).

About Cass Lake Dialysis Facility NPPES

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

CASS LAKE DIALYSIS FACILITY (NPI 1770548422) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Cass Lake, Minnesota and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through June 13, 2027 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1770548422
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTOTAL RENAL CARE INC
Location Address602 3RD ST NWCass Lake, MN 56633-3395
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(218) 335-4095
Fax(218) 335-4188
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateApril 18, 2006
Last NPPES UpdateJuly 24, 20244 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1770548422 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
602 3RD ST NW, Cass Lake, MN 56633
Open in Google Maps ↗

Other Names 1

Doing Business AsCass Lake Dialysis Facility

Other Identifiers 1

Medicaid226327100MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, UnitedHealthcare.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 24D0902194

Cass Lake Dialysis Facility · Cass Lake, MN
Active · expires Jun 13, 2027
CLIA Number24D0902194
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorJason Bydash
Laboratory Phone(218) 335-4095
Laboratory LocationCass Lake Dialysis Facility602 3rd Street NW, Cass Lake, MN 56633
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 Cass Lake Dialysis (CMS certification number 242528), from CMS Care Compare.

DaVita Cass Lake Dialysis

Dialysis facility · Cass Lake, MN
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number242528
ESRD NetworkNetwork 11
Hemodialysis Stations8
Medicare-Certified SinceOctober 16, 1995
Location602 3RD ST NWCass Lake, MN 56633 · Cass County
Phone(218) 335-4095
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 Total Renal Care Inc's NPI number?

The NPI number for Total Renal Care Inc is 1770548422. It was assigned to this organization in the NPPES registry on April 18, 2006. The provider is doing business as Cass Lake Dialysis Facility.

Where is Total Renal Care Inc located?

Total Renal Care Inc is located at 602 3rd St NW, Cass Lake, MN 56633. The listed phone number is (218) 335-4095.

What is Total Renal Care 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 Total Renal Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0902194) is associated with this NPI, valid through June 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Total Renal Care Inc a Medicare-certified dialysis facility?

Yes. DaVita Cass Lake Dialysis is a Medicare-certified dialysis facility, certified since October 16, 1995.

What quality rating does Total Renal Care Inc have?

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

What insurance does Total Renal Care Inc accept?

Health plans from HealthPartners, Medica and UnitedHealthcare list Total Renal Care 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 Total Renal Care Inc was last updated on July 24, 2024. 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.