FRESENIUS KIDNEY CARE CLYDE PARK SOUTH
NPI 1245509348
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Grand Rapids, MI

NPI Status: Active since December 19, 2011

Contact Information

5311 CLYDE PARK AVE SW
GRAND RAPIDS, MI
ZIP 49509
Phone: (616) 534-7179
Fax: (616) 534-7930

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment

About FRESENIUS KIDNEY CARE CLYDE PARK SOUTH

This page provides the complete NPI Profile along with additional information for Fresenius Kidney Care Clyde Park South, a provider established in Grand Rapids, Michigan operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1245509348 assigned on December 2011. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Fresenius Kidney Care Clyde Park South. The authorized official of this NPI record is Barry L. Blanton (Vice President)

NPI
1245509348
Provider Legal Name
FMS CLYDE PARK SOUTH, LLC
Other Organization Name
FRESENIUS KIDNEY CARE CLYDE PARK SOUTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5311 CLYDE PARK AVE SW GRAND RAPIDS, MI 49509
Location Phone
(616) 534-7179
Location Fax
(616) 534-7930
Mailing Address
5311 CLYDE PARK AVE SW GRAND RAPIDS, MI 49509
Mailing Phone
(616) 534-7179
Mailing Fax
(616) 534-7930
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-19-2011
Last Update Date
10-20-2023
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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

BARRY L. BLANTON

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(781) 699-9000

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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 1245509348, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
8
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 4 → 8 5 → 10 → 1 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 8 + 5 + 1 + 0 + 0 + 1 + 8 + 3 + 8 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1245509348.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245509348, enumerated as an "organization" on December 19, 2011.

The provider is located at 5311 CLYDE PARK AVE SW GRAND RAPIDS, MI 49509 and the phone number is (616) 534-7179.

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