GRANITE CITY DIALYSIS CENTER
NPI 1952360703
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Granite City, IL

Q: What is Renal Treatment Centers-Illinois Inc's NPI number?

The NPI number for Renal Treatment Centers-Illinois Inc is 1952360703. It was assigned to this organization in the NPPES registry on March 21, 2006. The provider is doing business as Granite City Dialysis Center.

Q: What is Renal Treatment Centers-Illinois 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.

Q: What quality rating does Renal Treatment Centers-Illinois Inc have?

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

Active since March 21, 2006CLIA 14D0914027 · Waiver

2/5

Overall Rating

9 AMERICAN VLG, GRANITE CITY, IL 62040(618) 452-5858(618) 452-6868 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 13, 2023, Mar 20, 2023, Jun 21, 2021 and 2 more (5 updates tracked since 2018).

On this page

About Granite City Dialysis Center NPPES

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

GRANITE CITY DIALYSIS CENTER (NPI 1952360703) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Granite City, Illinois and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through April 17, 2028 and lists Samuel T Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1952360703

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameRENAL TREATMENT CENTERS-ILLINOIS INC

Location Address9 AMERICAN VLGGranite City, IL 62040-3706

Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569

Phone(618) 452-5858

Fax(618) 452-6868

Organization SubpartNo

Authorized OfficialSamuel T WeyVp, Licensure & Certification · (615) 341-6641

Enumeration DateMarch 21, 2006

Last NPPES UpdateJanuary 14, 20255 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2025

✔ NPI 1952360703 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

9 AMERICAN VLG, Granite City, IL 62040

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Other Names 1

Doing Business AsGranite City Dialysis Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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 14D0914027

Granite City Dialysis Center · Granite City, IL

Active · expires Apr 17, 2028

CLIA Number14D0914027

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateApril 18, 2026

Certificate Expiration DateApril 17, 2028

Laboratory DirectorKenneth Gerdes

Laboratory Phone(618) 452-5858

Laboratory LocationGranite City Dialysis Center9 American Village Shopping Center, Granite City, IL 62040

CLIA data matches this NPI record on: 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 Granite City Dialysis Center (CMS certification number 142537), from CMS Care Compare.

DaVita Granite City Dialysis Center

Dialysis facility · Granite City, IL

2/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number142537

ESRD NetworkNetwork 10

Hemodialysis Stations20

Medicare-Certified SinceApril 1, 1988

Location9 AMERICAN VILLAGEGranite City, IL 62040 · Madison County

Phone(618) 452-5858

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 Renal Treatment Centers-Illinois Inc's NPI number?

The NPI number for Renal Treatment Centers-Illinois Inc is 1952360703. It was assigned to this organization in the NPPES registry on March 21, 2006. The provider is doing business as Granite City Dialysis Center.

Where is Renal Treatment Centers-Illinois Inc located?

Renal Treatment Centers-Illinois Inc is located at 9 American Vlg, Granite City, IL 62040. The listed phone number is (618) 452-5858.

What is Renal Treatment Centers-Illinois 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 Renal Treatment Centers-Illinois Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0914027) is associated with this NPI, valid through April 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Renal Treatment Centers-Illinois Inc a Medicare-certified dialysis facility?

Yes. DaVita Granite City Dialysis Center is a Medicare-certified dialysis facility, certified since April 1, 1988.

What quality rating does Renal Treatment Centers-Illinois Inc have?

CMS rates DaVita Granite City 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 Renal Treatment Centers-Illinois Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and UnitedHealthcare list Renal Treatment Centers-Illinois 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 Renal Treatment Centers-Illinois Inc was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.