Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacinto Dialysis LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1457697575

Jacinto Dialysis LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ardmore, Oklahoma. Medicare rates this dialysis facility 3 out of 5. Registered with an NPI since 2012.

CMS rating
3 of 5
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

3 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 372582)

Practice location Address checks out

2617 Crossroads Dr
Ardmore, OK 73401-2574
Phone: (580) 490-9844
Fax: (580) 490-9831
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1457697575
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp, Licensure & Certification · (615) 341-6641
Other names Ardmore Dialysis Ranch; Ardmore Dialysis Ranch
NPI enumeratedDecember 18, 2012
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address5200 Virginia Way, L&C Department, Brentwood, TN 37027-7569

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