CLYFEE DIALYSIS LLC NPI 1821499245

NPI Information

  • NPI: 1821499245
  • Provider Name: CLYFEE DIALYSIS LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • :
  • CLIA Number: 16D2086335
  • Address: 1228 E RUSHOLME ST STE 1000
    DAVENPORT, IA
    ZIP 52803
  • Phone: (563) 322-0101

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NPI Details

CLYFEE DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Davenport, IA. CLYFEE DIALYSIS LLC NPI is 1821499245. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1228 E RUSHOLME ST STE 1000
DAVENPORT, IA
ZIP 52803-467
Phone: (563) 322-0101
Fax: (563) 322-2092

The provider's authorized official is Samuel Wey .
The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 16D2086335 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/5/2014 and was last updated on 2/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11821499245MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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