LUTHERAN HOSPITAL
NPI 1124157961
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fort Wayne, IN

NPI Status: Active since March 05, 2007

Contact Information

7950 W JEFFERSON BLVD
FORT WAYNE, IN
ZIP 46804
Phone: (260) 435-7001
Fax: (260) 435-7632

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • CLIA Number: 15D2046556
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 09-05-2026

About LUTHERAN HOSPITAL

This page provides the complete NPI Profile along with additional information for Lutheran Hospital, a provider established in Fort Wayne, Indiana operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1124157961 assigned on March 2007. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Lutheran Hospital. The authorized official of this NPI record is Rebecca Hurley (Senior Vice President)

NPI
1124157961
Provider Legal Name
IOM HEALTH SYSTEM LP
Other Organization Name
LUTHERAN HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7950 W JEFFERSON BLVD FORT WAYNE, IN 46804
Location Phone
(260) 435-7001
Location Fax
(260) 435-7632
Mailing Address
7950 W JEFFERSON BLVD FORT WAYNE, IN 46804
Mailing Phone
(260) 435-7001
Mailing Fax
(260) 435-7632
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-05-2007
Last Update Date
08-22-2020
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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

REBECCA HURLEY

Authorized Official Title
SENIOR VICE PRESIDENT
Authorized Official Phone
(214) 473-3993

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
15D2046556
Facility Type
Hospital
Certificate Effective Date
September 06, 2024
Certificate Expiration Date
September 05, 2026
Laboratory Director
STEVEN JONES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lutheran Hospital 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 1124157961, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
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 2 → 4 1 → 2 7 → 14 → 5 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 2 + 5 + 1 + 4 + 9 + 1 + 2 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1124157961.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
7950 W JEFFERSON BLVD, 1ST FLOOR
FORT WAYNE, IN 46804
Emergency Medicine
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Personal Emergency Response Attendant
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Emergency Medicine (Emergency Medical Services)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Pathology (Anatomic Pathology & Clinical Pathology)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Emergency Medicine
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Emergency Medicine
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Emergency Medicine
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Emergency Medicine
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Emergency Medicine
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Emergency Medicine
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Physician Assistant
7950 W JEFFERSON BLVD, SUITE 2121
FORT WAYNE, IN 46804
Emergency Medicine
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Emergency Medicine
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Pharmacist
7950 W JEFFERSON BLVD, LUTHERAN HOSPITAL OF INDIANA PHARMACY DEPT.
FORT WAYNE, IN 46804
Pediatrics (Neonatal-Perinatal Medicine)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Pediatrics (Neonatal-Perinatal Medicine)
7950 W JEFFERSON BLVD, NEONATAL INTENSIVE CARE UNIT
FORT WAYNE, IN 46804
Pediatrics (Neonatal-Perinatal Medicine)
7950 W JEFFERSON BLVD, NEONATAL INTENSIVE CARE UNIT
FORT WAYNE, IN 46804
Pediatrics (Neonatal-Perinatal Medicine)
7950 W JEFFERSON BLVD, NEONATAL INTENSIVE CARE UNIT
FORT WAYNE, IN 46804
Pharmacist
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124157961, enumerated as an "organization" on March 05, 2007.

The provider is located at 7950 W JEFFERSON BLVD FORT WAYNE, IN 46804 and the phone number is (260) 435-7001.

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