FRANCISCAN BONNEY LAKE
NPI 1255838694
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Bonney Lake, WA

NPI Status: Active since April 11, 2018

Contact Information

19420 STATE ROUTE 410 E
BONNEY LAKE, WA
ZIP 98391
Phone: (253) 680-2187

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • CLIA Number: 50D2059234
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About FRANCISCAN BONNEY LAKE

This page provides the complete NPI Profile along with additional information for Franciscan Bonney Lake, a provider established in Bonney Lake, Washington operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1255838694 assigned on April 2018. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Franciscan Bonney Lake. The authorized official of this NPI record is Mike Fitzgerald (Cfo)

NPI
1255838694
Provider Legal Name
FRANCISCAN HEALTH SYSTEM
Other Organization Name
FRANCISCAN BONNEY LAKE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
19420 STATE ROUTE 410 E BONNEY LAKE, WA 98391
Location Phone
(253) 680-2187
Mailing Address
1145 BROADWAY STE 1200 TACOMA, WA 98402
Mailing Phone
(253) 680-2187
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-11-2018
Last Update Date
04-11-2018
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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

MIKE FITZGERALD

Authorized Official Title
CFO
Authorized Official Phone
(253) 680-4005

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
50D2059234
Facility Type
Physician Office
Certificate Effective Date
May 24, 2023
Certificate Expiration Date
April 04, 2028
Laboratory Director
ANASTASIA AUGUSTINE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Franciscan Bonney Lake 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 1255838694, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
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 5 → 10 → 1 8 → 16 → 7 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 0 + 5 + 1 + 6 + 3 + 1 + 6 + 6 + 1 + 8 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1255838694.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255838694, enumerated as an "organization" on April 11, 2018.

The provider is located at 19420 STATE ROUTE 410 E BONNEY LAKE, WA 98391 and the phone number is (253) 680-2187.

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