WIND RIVER FAMILY & COMMUNITY HEALTH CARE - DIALYSIS CENTER
NPI 1073254595
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Riverton, WY

NPI Status: Active since April 06, 2022

Contact Information

909 W MAIN ST
RIVERTON, WY
ZIP 82501
Phone: (307) 856-9281

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • CLIA Number: 53D0861556
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 06-18-2027

About WIND RIVER FAMILY & COMMUNITY HEALTH CARE - DIALYSIS CENTER

This page provides the complete NPI Profile along with additional information for Wind River Family & Community Health Care - Dialysis Center, a provider established in Riverton, Wyoming operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1073254595 assigned on April 2022. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Richard B Brannan (Ceo)

NPI
1073254595
Provider Name
WIND RIVER FAMILY & COMMUNITY HEALTH CARE - DIALYSIS CENTER
Entity Type
Organization
Location Address
909 W MAIN ST RIVERTON, WY 82501
Location Phone
(307) 856-9281
Mailing Address
PO BOX 1310 RIVERTON, WY 82501
Mailing Phone
(307) 856-9281
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-06-2022
Last Update Date
05-03-2024
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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

RICHARD B BRANNAN

Authorized Official Title
CEO
Authorized Official Phone
(307) 856-9281

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
53D0861556
Facility Type
Federally Qualified Health Center
Certificate Effective Date
June 19, 2025
Certificate Expiration Date
June 18, 2027
Laboratory Director
ERICA GRZENDA
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Wind River Family & Community Health Care - Dialysis Center 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 1073254595, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
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 7 → 14 → 5 2 → 4 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 4 + 3 + 4 + 5 + 8 + 5 + 1 + 8 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1073254595.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Social Worker
909 W MAIN ST
RIVERTON, WY 82501
Peer Specialist
909 W MAIN ST
RIVERTON, WY 82501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073254595, enumerated as an "organization" on April 06, 2022.

The provider is located at 909 W MAIN ST RIVERTON, WY 82501 and the phone number is (307) 856-9281.

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