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MT NEBO DIALYSIS
NPI 1992223556
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Salem, UT

Active since September 05, 2017CLIA 46D2140286 · Waiver
3/5
Overall Rating
555 W STATE ROAD 164 STE 101, SALEM, UT 84653(801) 798-7903(801) 798-7237 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 8, 2023, May 24, 2021, Oct 16, 2019 and 2 more (5 updates tracked since 2017).

About Mt Nebo Dialysis NPPES

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

MT NEBO DIALYSIS (NPI 1992223556) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Salem, Utah and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through November 16, 2027 and lists Samuel Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1992223556
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameWAKONDA DIALYSIS LLC
Location Address555 W STATE ROAD 164 STE 101Salem, UT 84653-5732
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(801) 798-7903
Fax(801) 798-7237
Organization SubpartNo
Authorized OfficialSamuel WeyVp, Licensure & Certification · (615) 341-6641
Enumeration DateSeptember 5, 2017
Last NPPES UpdateOctober 28, 20245 updates tracked since enumeration
NPPES CertifiedOctober 28, 2024
✔ NPI 1992223556 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
555 W STATE ROAD 164 STE 101, Salem, UT 84653
Open in Google Maps ↗

Other Names 1

Doing Business AsMt Nebo Dialysis

Other Identifiers 1

Medicaid1992223556UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health, UnitedHealthcare, University of Utah Health Plans.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 46D2140286

Mt Nebo Dialysis · Salem, UT
Active · expires Nov 16, 2027
CLIA Number46D2140286
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateNovember 17, 2025
Certificate Expiration DateNovember 16, 2027
Laboratory DirectorNestor E. Almeida
Laboratory Phone(801) 798-7903
Laboratory LocationMt Nebo Dialysis555 W State Road 164, Ste 101, Salem, UT 84653
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 Mt. Nebo Dialysis (CMS certification number 462551), from CMS Care Compare.

DaVita Mt. Nebo Dialysis

Dialysis facility · Salem, UT
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number462551
ESRD NetworkNetwork 15
Hemodialysis Stations12
Medicare-Certified SinceMarch 12, 2018
Location555 W SR 164 Suite 101Salem, UT 84653 · Utah County
Phone(801) 798-7903
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 Wakonda Dialysis LLC's NPI number?

The NPI number for Wakonda Dialysis LLC is 1992223556. It was assigned to this organization in the NPPES registry on September 5, 2017. The provider is doing business as Mt Nebo Dialysis.

Where is Wakonda Dialysis LLC located?

Wakonda Dialysis LLC is located at 555 W State Road 164 Ste 101, Salem, UT 84653. The listed phone number is (801) 798-7903.

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

Yes. A Certificate of Waiver (number 46D2140286) is associated with this NPI, valid through November 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Wakonda Dialysis LLC a Medicare-certified dialysis facility?

Yes. DaVita Mt. Nebo Dialysis is a Medicare-certified dialysis facility, certified since March 12, 2018.

What quality rating does Wakonda Dialysis LLC have?

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

What insurance does Wakonda Dialysis LLC accept?

Health plans from Select Health, UnitedHealthcare and University of Utah Health Plans list Wakonda 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 Wakonda Dialysis LLC was last updated on October 28, 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.