EASTERN NIAGARA HOSPITAL, INC
NPI 1063400539
General Acute Care Hospital in Lockport, NY

NPI Status: Active since October 10, 2005

Contact Information

521 EAST AVE
LOCKPORT, NY
ZIP 14094
Phone: (716) 514-5501
Fax: (716) 514-5549

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  • Organization
  • General Acute Care Hospital
  • CLIA Number: 33D0169211
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 03-26-2027

About EASTERN NIAGARA HOSPITAL, INC

This page provides the complete NPI Profile along with additional information for Eastern Niagara Hospital, Inc, a provider established in Lockport, New York operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1063400539 assigned on October 2005. The practitioner's primary taxonomy code is 282N00000X with license number 3101000H (NY). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. Michael Francis Ickowski Mba, Cpa (Chief Financial Officer)

NPI
1063400539
Provider Name
EASTERN NIAGARA HOSPITAL, INC
Entity Type
Organization
Location Address
521 EAST AVE LOCKPORT, NY 14094
Location Phone
(716) 514-5501
Location Fax
(716) 514-5549
Mailing Address
521 EAST AVE LOCKPORT, NY 14094
Mailing Phone
(716) 514-5501
Mailing Fax
(716) 514-5549
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-10-2005
Last Update Date
07-12-2016
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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

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
License No.
3101000H
License State
NY
Taxonomy Description
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QE0700XAmbulatory Health Care Facilities

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

 

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.

*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. MICHAEL FRANCIS ICKOWSKI MBA, CPA

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(716) 514-5501

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
89OTHER (01)NYIHA BILLING #
000000030000OTHER (01)NYBCBS BILLING #
00354389MEDICAID (05)NY 
000000031000OTHER (01)NYBCBS BILLING #
13OTHER (01)NYIHA BILLING #
00011412701OTHER (01)NYUNIVERA BILLING #
330163MEDICARE OSCAR/CERTIFICATION (06)NY 

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
33D0169211
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
January 01, 2020
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. DONALD M. SLATE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Eastern Niagara Hospital, Inc 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 1063400539, 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 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
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
3
Doubled → 6
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 6 → 12 → 3 4 → 8 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 2 + 3 + 8 + 0 + 0 + 5 + 6 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1063400539.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Pathology (Anatomic Pathology & Clinical Pathology)
521 EAST AVE
LOCKPORT, NY 14094
Pharmacist
521 EAST AVE
LOCKPORT, NY 14094
Orthopaedic Surgery
521 EAST AVE
LOCKPORT, NY 14094
Nurse Anesthetist, Certified Registered
521 EAST AVE
LOCKPORT, NY 14094
Hospitalist
521 EAST AVE
LOCKPORT, NY 14094
Hospitalist
521 EAST AVE
LOCKPORT, NY 14094
Hospitalist
521 EAST AVE
LOCKPORT, NY 14094
Family Medicine
521 EAST AVE
LOCKPORT, NY 14094
Anesthesiology
521 EAST AVE
LOCKPORT, NY 14094
Family Medicine
521 EAST AVE
LOCKPORT, NY 14094
Internal Medicine
521 EAST AVE
LOCKPORT, NY 14094
Technician, Pathology (Medical Laboratory)
521 EAST AVE
LOCKPORT, NY 14094
Specialist/Technologist, Pathology (Medical Technologist)
521 EAST AVE
LOCKPORT, NY 14094
Nuclear Medicine (Nuclear Imaging & Therapy)
521 EAST AVE
LOCKPORT, NY 14094
Anesthesiology
521 EAST AVE
LOCKPORT, NY 14094
Social Worker
521 EAST AVE
LOCKPORT, NY 14094
Family Medicine
521 EAST AVE
LOCKPORT, NY 14094
Pathology (Anatomic Pathology & Clinical Pathology)
521 EAST AVE
LOCKPORT, NY 14094

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063400539, enumerated as an "organization" on October 10, 2005.

The provider is located at 521 EAST AVE LOCKPORT, NY 14094 and the phone number is (716) 514-5501.

General Acute Care Hospital with taxonomy code 282N00000X.

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