DIGNITY HEALTH ARIZONA GENERAL HOSPITAL EMERGENCY ROOM
NPI 1053853978
Clinic/Center - Emergency Care in Mesa, AZ
NPI Status: Active since November 09, 2016
Contact Information
1910 S GILBERT RD
MESA, AZ
ZIP 85204
Phone: (972) 899-6630
- Organization
- Clinic/Center
- Emergency Care
- CLIA Number: 03D2118576
- CLIA Cert. Type: Other - FREE STANDING ER
- CLIA Exp. Date: 07-11-2027
About DIGNITY HEALTH ARIZONA GENERAL HOSPITAL EMERGENCY ROOM
This page provides the complete NPI Profile along with additional information for Dignity Health Arizona General Hospital Emergency Room, a provider established in Mesa, Arizona operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1053853978 assigned on November 2016. The practitioner's primary taxonomy code is 261QE0002X with license number H6937 (AZ). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Dignity Health Arizona General Hospital Emergency Room. The authorized official of this NPI record is Jane Hanson (Ceo)
- NPI
- 1053853978
- Provider Legal Name
- AGH LAVEEN LLC
- Other Organization Name
- DIGNITY HEALTH ARIZONA GENERAL HOSPITAL EMERGENCY ROOM
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1910 S GILBERT RD MESA, AZ 85204
- Location Phone
- (972) 899-6630
- Mailing Address
- 3030 N CENTRAL AVE STE 1402 PHOENIX, AZ 85012
- Mailing Phone
- (602) 406-3306
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-09-2016
- Last Update Date
- 05-13-2019
- Code Navigator
Location Map
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 Emergency Care
- Taxonomy Code
- 261QE0002X
- Type
- Ambulatory Health Care Facilities
- License No.
- H6937
- License State
- AZ
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
- 03D2118576
- Facility Type
- Other - FREE STANDING ER
- Certificate Effective Date
- July 12, 2025
- Certificate Expiration Date
- July 11, 2027
- Laboratory Director
- DR. WILLIAM FULTON
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Dignity Health Arizona General Hospital Emergency Room on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1053853978, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
MESA, AZ 85204
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053853978, enumerated as an "organization" on November 09, 2016.
The provider is located at 1910 S GILBERT RD MESA, AZ 85204 and the phone number is (972) 899-6630.
Clinic/Center with taxonomy code 261QE0002X and a focus in Emergency Care.
