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COUNCIL BLUFFS DIALYSIS CENTER
NPI 1811171440
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Council Bluffs, IA

Active since December 18, 2007CLIA 16D1077951 · Waiver
2/5
Overall Rating
300 W BROADWAY STE 150, COUNCIL BLUFFS, IA 51503(712) 388-0261(712) 388-0269 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 7, 2024, May 16, 2023, Jun 30, 2020 and 1 more (4 updates tracked since 2018).

About Council Bluffs Dialysis Center NPPES

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

COUNCIL BLUFFS DIALYSIS CENTER (NPI 1811171440) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Council Bluffs, Iowa and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through December 20, 2027 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1811171440
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA RENAL HEALTHCARE INC
Location Address300 W BROADWAY STE 150Council Bluffs, IA 51503-9077
Mailing Address5200 Virginia Way, Att: L&c DeptBrentwood, TN 37027-7569
Phone(712) 388-0261
Fax(712) 388-0269
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateDecember 18, 2007
Last NPPES UpdateNovember 7, 20244 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
✔ NPI 1811171440 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
300 W BROADWAY STE 150, Council Bluffs, IA 51503
Open in Google Maps ↗

Other Names 1

Doing Business AsCouncil Bluffs Dialysis Center

Other Identifiers 1

Medicaid1811171440IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida 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 16D1077951

Council Bluffs Dialysis Center · Council Bluffs, IA
Active · expires Dec 20, 2027
CLIA Number16D1077951
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateDecember 21, 2025
Certificate Expiration DateDecember 20, 2027
Laboratory DirectorHeather T. Lechnowsky
Laboratory Phone(712) 388-0261
Laboratory LocationCouncil Bluffs Dialysis Center300 West Broadway, Suite 150, Council Bluffs, IA 51503
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 Council Bluffs Dialysis Center (CMS certification number 162539), from CMS Care Compare.

DaVita Council Bluffs Dialysis Center

Dialysis facility · Council Bluffs, IA
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number162539
ESRD NetworkNetwork 12
Hemodialysis Stations24
Medicare-Certified SinceApril 29, 2008
Location300 W Broadway Suite 150Council Bluffs, IA 51503 · Pottawattamie County
Phone(712) 388-0261
Services Offered
In-center hemodialysis Peritoneal dialysis

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 DVA Renal Healthcare Inc's NPI number?

The NPI number for DVA Renal Healthcare Inc is 1811171440. It was assigned to this organization in the NPPES registry on December 18, 2007. The provider is doing business as Council Bluffs Dialysis Center.

Where is DVA Renal Healthcare Inc located?

DVA Renal Healthcare Inc is located at 300 W Broadway Ste 150, Council Bluffs, IA 51503. The listed phone number is (712) 388-0261.

What is DVA Renal Healthcare 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 DVA Renal Healthcare Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D1077951) is associated with this NPI, valid through December 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is DVA Renal Healthcare Inc a Medicare-certified dialysis facility?

Yes. DaVita Council Bluffs Dialysis Center is a Medicare-certified dialysis facility, certified since April 29, 2008.

What quality rating does DVA Renal Healthcare Inc have?

CMS rates DaVita Council Bluffs Dialysis Center 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does DVA Renal Healthcare Inc accept?

Health plans from Medica, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 3 other insurers list DVA Renal Healthcare 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 DVA Renal Healthcare Inc was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.