GREATER BOONE DIALYSIS
NPI 1275934077
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Danville, WV

NPI Status: Active since September 11, 2014

Contact Information

300 4TH ST
DANVILLE, WV
ZIP 25053
Phone: (304) 307-6201
Fax: (304) 307-6210

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

About GREATER BOONE DIALYSIS

This page provides the complete NPI Profile along with additional information for Greater Boone Dialysis, a provider established in Danville, West Virginia operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1275934077 assigned on September 2014. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Greater Boone Dialysis. The authorized official of this NPI record is John D Winstel (Chief Accounting Officer)

NPI
1275934077
Provider Legal Name
TOTAL RENAL CARE INC
Other Organization Name
GREATER BOONE DIALYSIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
300 4TH ST DANVILLE, WV 25053
Location Phone
(304) 307-6201
Location Fax
(304) 307-6210
Mailing Address
5200 VIRGINIA WAY L & C DEPT BRENTWOOD, TN 37027
Mailing Phone
(615) 238-3051
Mailing Fax
(304) 307-6210
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-11-2014
Last Update Date
09-01-2020
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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 End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JOHN D WINSTEL

Authorized Official Title
CHIEF ACCOUNTING OFFICER
Authorized Official Phone
(253) 733-4501

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1275934077MEDICAID (05)WV 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275934077
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221451838014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 8 + 3 + 8 + 0 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1275934077 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

JACQUELINE MARY KELLY PNP

Nurse Practitioner

(Pediatrics)

300 4TH ST
DANVILLE, WV
ZIP 25053

(304) 369-1230

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275934077, enumerated as an "organization" on September 11, 2014.

The provider is located at 300 4TH ST DANVILLE, WV 25053 and the phone number is (304) 307-6201.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.