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Southeastern Renal Dialysis L.C.

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

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

National Provider Identifier

1659337541

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Registry record

Entity type Organization (Type 2)
Legal business name Southeastern Renal Dialysis L.C.
Parent organization Southeastern Renal Dialysis L.C.
Practice address 1213 S Gear Ave, West Burlington, IA, 52655
Fax (319) 758-0392
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

Other identifiers

Identifier Type State Issuer
0625103 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.

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Frequently asked questions

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).
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.

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