SAINT ALPHONSUS NEPHROLOGY CENTER
NPI 1073504635
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Ontario, OR
NPI Status: Active since November 02, 2005
Contact Information
515 EAST LN
ONTARIO, OR
ZIP 97914
Phone: (541) 889-9557
Fax: (541) 881-8721
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- CLIA Number: 38D2279995
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 04-10-2027
About SAINT ALPHONSUS NEPHROLOGY CENTER
This page provides the complete NPI Profile along with additional information for Saint Alphonsus Nephrology Center, a provider established in Ontario, Oregon operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1073504635 assigned on November 2005. The practitioner's primary taxonomy code is 261QE0700X with license number 170009 (OR). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Jan M Jacobs (Accounts Receivable Manager)
- NPI
- 1073504635
- Provider Name
- SAINT ALPHONSUS NEPHROLOGY CENTER
- Entity Type
- Organization
- Location Address
- 515 EAST LN ONTARIO, OR 97914
- Location Phone
- (541) 889-9557
- Location Fax
- (541) 881-8721
- Mailing Address
- 5610 GAGE ST STE B BOISE, ID 83706
- Mailing Phone
- (208) 367-3076
- Mailing Fax
- (541) 881-8721
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-02-2005
- Last Update Date
- 08-22-2020
- 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 End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
- License No.
- 170009
- License State
- OR
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
- 38D2279995
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- April 11, 2025
- Certificate Expiration Date
- April 10, 2027
- Laboratory Director
- SHEILA GIFFEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Saint Alphonsus Nephrology Center 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 1073504635, 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 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.
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 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
ONTARIO, OR 97914
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073504635, enumerated as an "organization" on November 02, 2005.
The provider is located at 515 EAST LN ONTARIO, OR 97914 and the phone number is (541) 889-9557.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
