Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Southeastern Renal Dialysis L.C.

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Keokuk, IA · enumerated 2006 · authorized official Mary Liechty, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083670988

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Registry record

Entity type Organization (Type 2)

Legal business name Southeastern Renal Dialysis L.C.

Parent organization Southeastern Renal Dialysis

Practice address 1419 Morgan St, Keokuk, IA, 52632

Phone (319) 524-2105

Fax (319) 524-2188

Enumeration date Apr 21, 2006

Last updated in NPPES Mar 16, 2012

Taxonomy & classification

261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Mary Liechty

Title Administrator

Phone (319) 385-6728

Other identifiers

Identifier	Type	State	Issuer
0625178	Medicaid	IA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Southeastern Renal Dialysis L.C.?

Southeastern Renal Dialysis L.C. is registered in NPPES as a End-Stage Renal Disease (ESRD) Treatment Clinic/Center (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-03-16.