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COLMARE DIALYSIS
NPI 1891204558
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Bridgeport, MI

Active since September 26, 2017CLIA 23D2140913 · Waiver
2/5
Overall Rating
6302 DIXIE HWY, BRIDGEPORT, MI 48722(989) 777-0780(989) 777-0717 Get Directions Write a Review

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

Record update history: Jul 19, 2023, Jul 8, 2022, Jul 23, 2020 and 1 more (4 updates tracked since 2019).

About Colmare Dialysis NPPES

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

COLMARE DIALYSIS (NPI 1891204558) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Bridgeport, Michigan and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through December 3, 2027 and lists Samuel Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1891204558
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameBLAUVELT DIALYSIS LLC
Location Address6302 DIXIE HWYBridgeport, MI 48722-9566
Mailing Address5200 Virginia Way, Att: L&c DeptBrentwood, TN 37027-7569
Phone(989) 777-0780
Fax(989) 777-0717
Organization SubpartNo
Authorized OfficialSamuel WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateSeptember 26, 2017
Last NPPES UpdateMay 28, 20244 updates tracked since enumeration
NPPES CertifiedMay 28, 2024
✔ NPI 1891204558 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
6302 DIXIE HWY, Bridgeport, MI 48722
Open in Google Maps ↗

Other Names 1

Doing Business AsColmare Dialysis

Other Identifiers 1

Medicaid1891204558MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 23D2140913

Colmare Dialysis · Bridgeport, MI
Active · expires Dec 3, 2027
CLIA Number23D2140913
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateDecember 4, 2025
Certificate Expiration DateDecember 3, 2027
Laboratory DirectorOwolabi Ogunneye
Laboratory Phone(989) 777-0780
Laboratory LocationColmare Dialysis6302 Dixie Highway, Bridgeport, MI 48722
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 Colmare Dialysis (CMS certification number 232723), from CMS Care Compare.

DaVita Colmare Dialysis

Dialysis facility · Bridgeport, MI
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number232723
ESRD NetworkNetwork 11
Hemodialysis Stations12
Medicare-Certified SinceAugust 10, 2018
Location6302 DIXIE HWYBridgeport, MI 48722 · Saginaw County
Phone(989) 777-0780
Services Offered
In-center hemodialysis

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 Blauvelt Dialysis LLC's NPI number?

The NPI number for Blauvelt Dialysis LLC is 1891204558. It was assigned to this organization in the NPPES registry on September 26, 2017. The provider is doing business as Colmare Dialysis.

Where is Blauvelt Dialysis LLC located?

Blauvelt Dialysis LLC is located at 6302 Dixie Hwy, Bridgeport, MI 48722. The listed phone number is (989) 777-0780.

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

Yes. A Certificate of Waiver (number 23D2140913) is associated with this NPI, valid through December 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Blauvelt Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Colmare Dialysis is a Medicare-certified dialysis facility, certified since August 10, 2018.

What quality rating does Blauvelt Dialysis LLC have?

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

What insurance does Blauvelt Dialysis LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Blauvelt 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 Blauvelt Dialysis LLC was last updated on May 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.