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

Wakonda Dialysis LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1992223556

Wakonda Dialysis LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Salem, Utah. Medicare rates this dialysis facility 4 out of 5. Registered with an NPI since 2017.

CMS rating
4 of 5
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

CMS quality rating

4 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 462551)

Practice location Address checks out

555 W State Road 164 Ste 101
Salem, UT 84653-5732
Phone: (801) 798-7903
Fax: (801) 798-7237
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 number1992223556
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp, Licensure & Certification · (615) 341-6641
Other names Mt Nebo Dialysis; Mt Nebo Dialysis
NPI enumeratedSeptember 5, 2017
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024
Mailing address5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569