PIKE COUNTY HOME DIALYSIS
NPI 1023456787
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Bowling Green, MO

NPI Status: Active since June 04, 2013

Contact Information

1015 W ADAMS ST
BOWLING GREEN, MO
ZIP 63334
Phone: (573) 324-5300

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • CLIA Number: 26D0441167
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 07-18-2027

About PIKE COUNTY HOME DIALYSIS

This page provides the complete NPI Profile along with additional information for Pike County Home Dialysis, a provider established in Bowling Green, Missouri operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1023456787 assigned on June 2013. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Pike County Home Dialysis. The authorized official of this NPI record is Mr. Donovan Schultz (President)

NPI
1023456787
Provider Legal Name
DIALYSIS CLINIC INC.
Other Organization Name
PIKE COUNTY HOME DIALYSIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1015 W ADAMS ST BOWLING GREEN, MO 63334
Location Phone
(573) 324-5300
Mailing Address
3300 LEMONE INDUSTRIAL BLVD COLUMBIA, MO 65201
Mailing Phone
(573) 443-1531
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-04-2013
Last Update Date
10-04-2023
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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

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. DONOVAN SCHULTZ

Authorized Official Title
PRESIDENT
Authorized Official Phone
(615) 327-3061

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D0441167
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
July 19, 2025
Certificate Expiration Date
July 18, 2027
Laboratory Director
PRASHANTH PODARALLA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pike County Home Dialysis to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1023456787, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
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 4 → 8 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 4 + 3 + 8 + 5 + 1 + 2 + 7 + 1 + 6 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1023456787.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
1015 W ADAMS ST
BOWLING GREEN, MO 63334
Clinic/Center (Rural Health)
1015 W ADAMS ST
BOWLING GREEN, MO 63334
Family Medicine
1015 W ADAMS ST
BOWLING GREEN, MO 63334
Family Medicine
1015 W ADAMS ST
BOWLING GREEN, MO 63334
Physician Assistant (Medical)
1015 W ADAMS ST
BOWLING GREEN, MO 63334
Specialist/Technologist (Athletic Trainer)
1015 W ADAMS ST
BOWLING GREEN, MO 63334

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023456787, enumerated as an "organization" on June 04, 2013.

The provider is located at 1015 W ADAMS ST BOWLING GREEN, MO 63334 and the phone number is (573) 324-5300.

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