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ELIZABETHTOWN CENTER LLC
NPI 1053742569
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Elizabethtown, NY

Active since December 09, 2013CLIA 33D2072084 · Waiver
4/5
Overall Rating
75 PARK ST, ELIZABETHTOWN, NY 12932(518) 873-2162(518) 873-2144 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 20, 2026, Jan 13, 2023, Aug 18, 2022 and 3 more (6 updates tracked since 2017).

About Elizabethtown Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETHTOWN CENTER LLC (NPI 1053742569) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Elizabethtown, New York and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Sara Anne Brady, Chief Nursing Officer, as its authorized official.

NPPES Registry Identity

NPI1053742569
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameELIZABETHTOWN CENTER LLC
Location Address75 PARK STElizabethtown, NY 12932-2300
Mailing AddressPo Box 277Elizabethtown, NY 12932-0277 · (518) 873-2162 · Fax (518) 873-2144
Phone(518) 873-2162
Fax(518) 873-2144
Organization SubpartNo
Authorized OfficialSara Anne BradyChief Nursing Officer · (208) 371-7878
Enumeration DateDecember 9, 2013
Last NPPES UpdateMay 20, 20266 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1053742569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
75 PARK ST, Elizabethtown, NY 12932
Open in Google Maps ↗

Other Identifiers 1

Medicaid03937280NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabethtown Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20140409001926Part A · End-Stage Renal Disease Facility (ESRD)Due dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2072084

Elizabethtown Center LLC · Elizabethtown, NY
Active · expires Mar 26, 2027
CLIA Number33D2072084
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJanuary 24, 2014
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Craig G. Hurwitz
Laboratory Phone(518) 873-2162
Laboratory LocationElizabethtown Center LLC75 Park Street, Elizabethtown, NY 12932
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Elizabethtown Center, LLC (CMS certification number 332710), from CMS Care Compare.

Elizabethtown Center, LLC

Dialysis facility · Elizabethtown, NY
4/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainAmerican Renal Associates
CMS Certification Number332710
ESRD NetworkNetwork 2
Hemodialysis Stations8
Medicare-Certified SinceApril 1, 2014
Location75 PARK STREETElizabethtown, NY 12932 · Essex County
Phone(518) 873-2162
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JAMES WHALEN L'EPISCOPO P.A.
Physician Assistant
75 PARK ST
ELIZABETHTOWN, NY 12932
Essex County (518) 873-6377
ELIZABETHTOWN COMMUNITY HOSPITAL
Medicare Defined Swing Bed Unit
75 PARK ST
ELIZABETHTOWN, NY 12932
Essex County (518) 873-6377
MR. WILLIAM PATRICK DOHERTY PT
Physical Therapist
75 PARK ST
ELIZABETHTOWN, NY 12932
Essex County (518) 873-2408
JAMES F JACKSON PA
Physician Assistant
75 PARK ST
ELIZABETHTOWN, NY 12932
Essex County (518) 873-6377
ELIZABETHTOWN COMMUNITY HOSPITAL
Ambulance
75 PARK ST
ELIZABETHTOWN, NY 12932
Essex County (518) 873-3130
MS. DOROTHY A. WEHNAU RD
Dietitian, Registered
75 PARK ST, ELIZABETHTOWN COMMUNITY HOSPITAL
ELIZABETHTOWN, NY 12932
Essex County (518) 873-3106
DENISE M MCLAUGHLIN RN, DCES
Registered Nurse (Diabetes Educator)
75 PARK ST
ELIZABETHTOWN, NY 12932
Essex County (518) 873-9005
JESSIE MORGAN MS
Counselor (Mental Health)
75 PARK ST
ELIZABETHTOWN, NY 12932
Essex County (518) 873-6377

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabethtown Center LLC's NPI number?

The NPI number for Elizabethtown Center LLC is 1053742569. It was assigned to this organization in the NPPES registry on December 9, 2013.

Where is Elizabethtown Center LLC located?

Elizabethtown Center LLC is located at 75 Park St, Elizabethtown, NY 12932. The listed phone number is (518) 873-2162.

What is Elizabethtown Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Is Elizabethtown Center LLC enrolled in Medicare?

Yes. Elizabethtown Center LLC is registered in the Medicare PECOS enrollment system.

When is Elizabethtown Center LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (New York, End-Stage Renal Disease Facility (ESRD)) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Elizabethtown Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2072084) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Elizabethtown Center LLC a Medicare-certified dialysis facility?

Yes. Elizabethtown Center, LLC is a Medicare-certified dialysis facility, certified since April 1, 2014.

What quality rating does Elizabethtown Center LLC have?

CMS rates Elizabethtown Center, LLC 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Elizabethtown Center LLC accept?

Health plans from UnitedHealthcare list Elizabethtown Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizabethtown Center LLC was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.