Entity Details

Hawkeye Dialysis ( ESRD )

Basic

Entity Type:
End Stage Renal Disease (ESRD)

Medicaid #:

CCN #:
162570

Occupancy Type:
Beds

Max Occupancy:

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:

Initial License Date:

Current License Date:

Renewal Cycle:

Entity Type Renewal Cycle(months):
356

Expiration Date:

Months Since Last Survey:
30

Entity Type Survey Cycle(months):
36

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
701 Tama Street, Suite 150

City:
Marion

State:
Iowa

Zip:
52302

Phone:
(319) 415-4930

Fax:

URL:

Administrator/License #:
Megan Gebel /

Administrator Email:
megan.gebel@davita.com

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found