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DCI KIDNEY CARE POLSON LLC
NPI 1790648947
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Polson, MT

Active since December 04, 2025CLIA 27D2120828 · Waiver
303 RIDGEWATER DR, POLSON, MT 59860(406) 883-0534(406) 883-0524 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dci Kidney Care Polson Llc NPPES

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

DCI KIDNEY CARE POLSON LLC (NPI 1790648947) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Polson, Montana and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through October 24, 2026 and lists Donovan Schultz, President, as its authorized official.

NPPES Registry Identity

NPI1790648947
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDCI KIDNEY CARE POLSON LLC
Location Address303 RIDGEWATER DRPolson, MT 59860-8547
Mailing Address1633 Church St Ste 500Nashville, TN 37203-2948 · (615) 342-0498 · Fax (615) 963-9730
Phone(406) 883-0534
Fax(406) 883-0524
Organization SubpartNo
Authorized OfficialDonovan SchultzPresident · (615) 327-3061
Enumeration DateDecember 4, 2025
NPPES CertifiedDecember 4, 2025
✔ NPI 1790648947 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
303 RIDGEWATER DR, Polson, MT 59860
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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 27D2120828

Dci Kidney Care Polson, LLC · Polson, MT
Active · expires Oct 24, 2026
CLIA Number27D2120828
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorSamantha Bezdicek
Laboratory Phone(406) 883-0534
Laboratory LocationDci Kidney Care Polson, LLC303 Ridgewater Dr, Polson, MT 59860
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.

DIALYSIS CLINIC INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
303 RIDGEWATER DR
POLSON, MT 59860
Lake County (406) 883-0534

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 DCI Kidney Care Polson LLC's NPI number?

The NPI number for DCI Kidney Care Polson LLC is 1790648947. It was assigned to this organization in the NPPES registry on December 4, 2025.

Where is DCI Kidney Care Polson LLC located?

DCI Kidney Care Polson LLC is located at 303 Ridgewater Dr, Polson, MT 59860. The listed phone number is (406) 883-0534.

What is DCI Kidney Care Polson 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 DCI Kidney Care Polson LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D2120828) is associated with this NPI, valid through October 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for DCI Kidney Care Polson LLC was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.