DIALYSIS MANAGEMENT GROUP LLC NPI 1922318666

NPI Information

  • NPI: 1922318666
  • Provider Name: DIALYSIS MANAGEMENT GROUP LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: PORCUPINE DIALYSIS CENTER
  • CLIA Number: 43D0908528
  • Address: HCR 49
    PORCUPINE, SD
    ZIP 57772
  • Phone: (605) 718-0392

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NPI Details

DIALYSIS MANAGEMENT GROUP LLC is an end-stage renal disease (esrd) treatment clinic center in Porcupine, SD. DIALYSIS MANAGEMENT GROUP LLC NPI is 1922318666. The provider is registered as an organization entity type.
The provider Is Doing Business As Porcupine Dialysis Center.

The provider's business location address is:

HCR 49
PORCUPINE, SD
ZIP 57772-000
Phone: (605) 718-0392

The provider's authorized official is Allen Rada .
The authorized official title is President and has the following contact phone number (605) 390-0910.

The CLIA number assigned to this NPI record is 43D0908528 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/15/2010 and was last updated on 11/22/2013.

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
1432514MEDICARE OSCAR/CERTIFICATIONSOUTH DAKOTA
25400390MEDICAIDSOUTH DAKOTA

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: 11/21/2025

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