TIDALHEALTH COVID INFUSION CLINIC
NPI 1174724991
Clinic/Center - Infusion Therapy in Salisbury, MD
NPI Status: Active since May 30, 2007
Contact Information
145 E CARROLL ST
SALISBURY, MD
ZIP 21801
Phone: (410) 546-6400
Fax: (410) 912-4959
- Organization
- Clinic/Center
- Infusion Therapy
- CLIA Number: 21D0221168
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-27-2027
About TIDALHEALTH COVID INFUSION CLINIC
This page provides the complete NPI Profile along with additional information for Tidalhealth Covid Infusion Clinic, a provider established in Salisbury, Maryland operating as a Clinic/center, focusing in infusion therapy . The healthcare provider is registered in the NPI registry with number 1174724991 assigned on May 2007. The practitioner's primary taxonomy code is 261QI0500X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Tidalhealth Covid Infusion Clinic. The authorized official of this NPI record is Stephanie Gary (Cfo)
- NPI
- 1174724991
- Provider Legal Name
- TIDALHEALTH PENINSULA REGIONAL, INC.
- Other Organization Name
- TIDALHEALTH COVID INFUSION CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 145 E CARROLL ST SALISBURY, MD 21801
- Location Phone
- (410) 546-6400
- Location Fax
- (410) 912-4959
- Mailing Address
- PO BOX 826880 PHILADELPHIA, PA 19182
- Mailing Phone
- (410) 546-6400
- Mailing Fax
- (410) 912-4959
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-30-2007
- Last Update Date
- 02-28-2023
- 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 Infusion Therapy
- Taxonomy Code
- 261QI0500X
- Type
- Ambulatory Health Care Facilities
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
- 21D0221168
- Facility Type
- Hospital
- Certificate Effective Date
- February 28, 2025
- Certificate Expiration Date
- February 27, 2027
- Laboratory Director
- DR. MICHAEL J. WAGNER
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Tidalhealth Covid Infusion Clinic 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 1174724991, 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 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.
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 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SALISBURY, MD 21801
SALISBURY, MD 21801
SALISBURY, MD 21801
SALISBURY, MD 21801
SALISBURY, MD 21801
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174724991, enumerated as an "organization" on May 30, 2007.
The provider is located at 145 E CARROLL ST SALISBURY, MD 21801 and the phone number is (410) 546-6400.
Clinic/Center with taxonomy code 261QI0500X and a focus in Infusion Therapy.
