GRANTS PASS II DIALYSIS
NPI 1952740672
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Grants Pass, OR


Overall Rating: 2 out of 5 stars

NPI Status: Active since June 15, 2013

Contact Information

1055 REDWOOD AVE
GRANTS PASS, OR
ZIP 97527
Phone: (541) 479-0545
Fax: (541) 479-4271

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • Accepts Insurance
  • CLIA Number: 38D2061412
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 06-26-2027

About GRANTS PASS II DIALYSIS

This page provides the complete NPI Profile along with additional information for Grants Pass Ii Dialysis, a provider established in Grants Pass, Oregon operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1952740672 assigned on June 2013. The practitioner's primary taxonomy code is 261QE0700X with license number 17-0097 (OR). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Grants Pass Ii Dialysis. The authorized official of this NPI record is Samuel T Wey (Vp Licensure & Certification)

NPI
1952740672
Provider Legal Name
STAR DIALYSIS LLC
Other Organization Name
GRANTS PASS II DIALYSIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1055 REDWOOD AVE GRANTS PASS, OR 97527
Location Phone
(541) 479-0545
Location Fax
(541) 479-4271
Mailing Address
5200 VIRGINIA WAY L&C DEPT BRENTWOOD, TN 37027
Mailing Phone
(615) 341-6814
Mailing Fax
(541) 479-4271
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-15-2013
Last Update Date
01-11-2024
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According to the Dialysis Facility Compare program data, Grants Pass Ii Dialysis has a below average overall quality rating based on the patient's quality of care based on data that dialysis centers report to Medicare. The Quality of Patient Star Rating for this facility is 2 out of 5 stars.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities
License No.
17-0097
License State
OR

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Bronze HDHP 7500 - EPO
  • Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Navigator Bronze 7000 Exchange - PPO
  • Navigator Bronze 9200 - PPO
  • Navigator Bronze HSA 8050 - PPO
  • Navigator Gold 1500 - PPO
  • Navigator Gold 1500 Exchange - PPO
  • Navigator Gold 500 Exchange - PPO
  • Navigator Silver 3500 Exchange - PPO
  • Navigator Silver 4000 Exchange - PPO
  • Navigator Silver 5000 - PPO
  • Navigator Silver HSA 3500 - PPO
  • Navigator Standard Expanded Bronze - PPO
  • Navigator Standard Gold - PPO
  • Navigator Standard Silver - PPO
  • PacificSource Oregon Standard Bronze Plan NAV - PPO
  • PacificSource Oregon Standard Gold Plan NAV - PPO
  • PacificSource Oregon Standard Silver Plan NAV - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SAMUEL T WEY

Authorized Official Title
VP LICENSURE & CERTIFICATION
Authorized Official Phone
(615) 341-6641

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
500669206MEDICAID (05)OR 

Dialysis Facility Compare Information

Quality of Patient Care Rating Quality of Patient Care Rating
The Medicare program calculates star ratings using specific measure data reported by dialysis centers to Medicare and data from the In-Center Hemodialysis CAHPS Survey.
- 2 out of 5 stars - A Below Average
Dialysis Facility TypeProfit
Is it part of a chain?Yes
Corporate NameDaVita
Shifts Starting After 5PM Shifts Starting After 5PM
If you can start your dialysis treatment at 5pm or later. These centers may also offer the ability for you to receive dialysis while you sleep.
No
In-Center Hemodialysis In-Center Hemodialysis
Hemodialysis is the most common method for treating advanced and permanent kidney failure. In hemodialysis, your blood flows slowly through a filter to remove wastes and extra fluids and the clean blood is returned to your body.
Yes
Number of Hemodialysis Stations Number of Hemodialysis Stations
The number of hemodialysis stations in the dialysis facility.
12
Peritoneal Dialysis Peritoneal Dialysis
Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen, or belly, to filter your blood inside your body. It uses a soft tube to fill your abdomen with a cleansing liquid that removes waste products from your body and the liquid is drained out of your body after a few hours.
No
Home Hemodialysis Training Home Hemodialysis Training
If the dialysis center offers training for patients and caregivers to learn to do hemodialysis treatments at home.
No
Certification or Recertification Date10-29-2013

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
38D2061412
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
June 27, 2025
Certificate Expiration Date
June 26, 2027
Laboratory Director
KUMAR DINESH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Grants Pass Ii Dialysis to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for GRANTS PASS II DIALYSIS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1952740672
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291021440614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 1 + 4 + 4 + 0 + 6 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1952740672 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205854106TOTAL RENAL CARE INC
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)1055 REDWOOD AVE
GRANTS PASS, OR 97527
(615) 320-4435

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952740672, enumerated in the NPI registry as an "organization" on June 15, 2013

The provider is located at 1055 Redwood Ave Grants Pass, Or 97527 and the phone number is (541) 479-0545

This medical organization specializes in Clinic/Center with taxonomy code 261QE0700X with a focus in End-Stage Renal Disease (ESRD) Treatment

The provider might be accepting Accepts: Moda Health Plan, Inc., PacificSource Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 38D2061412 for a "end stage renal disease dialysis facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

The Overall Quality Rating of this dialysis facility is 2 out of 5 stars which is a below average when compared to similar facilities. The overall quality rating is calculated using specific measure data reported by dialysis centers to Medicare and data from the In-Center Hemodialysis CAHPS Survey.

This NPI record was last updated on June 15, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.