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FAXTON ST LUKES HEALTHCARE
NPI 1124228770
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Utica, NY

Active since July 23, 2007
2150 BLEECKER ST, UTICA, NY 13501(315) 624-6000 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2023, Feb 2, 2022, Aug 6, 2020 and 1 more (4 updates tracked since 2017).

About Faxton St Lukes Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAXTON ST LUKES HEALTHCARE (NPI 1124228770) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Utica, New York and active in the NPI registry since July 2007. The organization lists Cody White, Revenue Cycle Director, as its authorized official.

NPPES Registry Identity

NPI1124228770
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameFAXTON ST LUKES HEALTHCARE
Location Address2150 BLEECKER STUtica, NY 13501-1738
Mailing AddressPo Box 4849Utica, NY 13504-4849 · (315) 624-6000
Phone(315) 624-6000
Organization SubpartYes
Authorized OfficialCody WhiteRevenue Cycle Director · (315) 801-4429
Enumeration DateJuly 23, 2007
Last NPPES UpdateJuly 12, 20234 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1124228770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
2150 BLEECKER ST, Utica, NY 13501
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIF N ERIM MD
Internal Medicine (Geriatric Medicine)
2150 BLEECKER ST
UTICA, NY 13501
Oneida County (315) 798-4955
JOSEPH A DEBONZA PT
Physical Therapist
2150 BLEECKER ST
UTICA, NY 13501
Oneida County (315) 798-4867
WARREN J MUNDRICK OT
Occupational Therapist
2150 BLEECKER ST
UTICA, NY 13501
Oneida County (315) 798-4867
JILL M MAXAM SP
Speech-Language Pathologist
2150 BLEECKER ST
UTICA, NY 13501
Oneida County (315) 798-4867
TRUSTEES OF THE MASONIC HALL AND ASYLUM FUND
Skilled Nursing Facility
2150 BLEECKER ST
UTICA, NY 13501
Oneida County (315) 798-4800
COLLEEN K REYNOLDS PT
Physical Therapist
2150 BLEECKER ST
UTICA, NY 13501
Oneida County (315) 798-4867
KIMBERLY A PAGE PT
Physical Therapist
2150 BLEECKER ST
UTICA, NY 13501
Oneida County (315) 798-4867
MASONIC MEDICAL RESEARCH LABORATORY
Clinical Medical Laboratory
2150 BLEECKER ST
UTICA, NY 13501
Oneida County (315) 735-2217

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Faxton St Lukes Healthcare's NPI number?

The NPI number for Faxton St Lukes Healthcare is 1124228770. It was assigned to this organization in the NPPES registry on July 23, 2007.

Where is Faxton St Lukes Healthcare located?

Faxton St Lukes Healthcare is located at 2150 Bleecker St, Utica, NY 13501. The listed phone number is (315) 624-6000.

What is Faxton St Lukes Healthcare's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Faxton St Lukes Healthcare was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.