DIVINE PROVIDENCE HOSPITAL
NPI 1023110459
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Selinsgrove, PA

NPI Status: Active since September 05, 2006

Contact Information

21 SUSQUEHANNA VALLEY MALL DRIVE
SUITE D
SELINSGROVE, PA
ZIP 17870
Phone: (570) 374-5454
Fax: (570) 326-8601

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment

About DIVINE PROVIDENCE HOSPITAL

This page provides the complete NPI Profile along with additional information for Divine Providence Hospital, a provider established in Selinsgrove, Pennsylvania operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1023110459 assigned on September 2006. The practitioner's primary taxonomy code is 261QE0700X with license number 041001 (PA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's other name is Divine Providence Hospital. The authorized official of this NPI record is Mr. Charles J. Santangelo Cpa Fhfma (Executive Vp Cfo)

NPI
1023110459
Provider Legal Name
DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY
Other Organization Name
DIVINE PROVIDENCE HOSPITAL
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
21 SUSQUEHANNA VALLEY MALL DRIVE SUITE D SELINSGROVE, PA 17870
Location Phone
(570) 374-5454
Location Fax
(570) 326-8601
Mailing Address
1205 GRAMPIAN BLVD 2ND FLOOR WILLIAMSPORT, PA 17701
Mailing Phone
(570) 326-8676
Mailing Fax
(570) 326-8601
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-05-2006
Last Update Date
04-20-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities
License No.
041001
License State
PA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. CHARLES J. SANTANGELO CPA FHFMA

Authorized Official Title
EXECUTIVE VP CFO
Authorized Official Phone
(570) 321-3171

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
20012697OTHER (01)PAAMERIHEALTH HMO AMER PIN
70159OTHER (01)PAGEISINGER HEALTH PLAN PIN
393510MEDICARE OSCAR/CERTIFICATION (06)PA 
394048OTHER (01)PAHEALTH AMERICA PIN
000070OTHER (01)PAAMERIHEALTH ADMINSTR PIN
1066310OTHER (01)PAKEYSTONE MERCY HEALTH PIN
393510OTHER (01)PABLUE CROSS PIN
394048OTHER (01)PAHEALTH ASSURANCE PIN
1007563750011MEDICAID (05)PA 
396871OTHER (01)PABLACK LUNG PROGRAM PIN
816867OTHER (01)PAFIRST PRIORITY HEALTH PIN
=========OTHER (01)PAMAILHANDLERS BENEFIT PIN
394048OTHER (01)PAAETNA PIN

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023110459, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 41. The final step is to find the difference between that total and the next multiple of ten (50 - 41 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 2 + 1 + 0 + 4 + 1 + 0 + 24 = 41

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 41 is 50. The difference is the calculated check digit.

50 - 41 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1023110459.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Radiology (Diagnostic Ultrasound)
21 SUSQUEHANNA VALLEY MALL DRIVE
SELINSGROVE, PA 17870

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023110459, enumerated as an "organization" on September 05, 2006.

The provider is located at 21 SUSQUEHANNA VALLEY MALL DRIVE SUITE D SELINSGROVE, PA 17870 and the phone number is (570) 374-5454.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: AmeriHealth, Medicare, Medicaid, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.