MONTGOMERY COUNTY DIALYSIS
NPI 1285733584
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Crawfordsville, IN

NPI Status: Active since September 22, 2006

Contact Information

1710 LAFAYETTE RD
CRAWFORDSVILLE, IN
ZIP 47933
Phone: (765) 359-2224

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
End-Stage Renal Disease (ESRD) Treatment
CLIA Number: 15D2278583
CLIA Cert. Type: Other - JAIL
CLIA Exp. Date: 03-20-2027

About MONTGOMERY COUNTY DIALYSIS

This page provides the complete NPI Profile along with additional information for Montgomery County Dialysis, a provider established in Crawfordsville, Indiana operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1285733584 assigned on September 2006. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Montgomery County Dialysis. The authorized official of this NPI record is Mr. Terrance E Wilson (Chief Executive Officer)

NPI: 1285733584
Provider Legal Name: GREATER LAFAYETTE HEALTH SERVICES
Other Organization Name: MONTGOMERY COUNTY DIALYSIS
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 1710 LAFAYETTE RD CRAWFORDSVILLE, IN 47933
Location Phone: (765) 359-2224
Mailing Address: 1710 LAFAYETTE RD CRAWFORDSVILLE, IN 47933
Mailing Phone: (765) 359-2224
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 09-22-2006
Last Update Date: 08-22-2020
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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
License State: IN

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: MR. TERRANCE E WILSON
Authorized Official Title: CHIEF EXECUTIVE OFFICER
Authorized Official Phone: (765) 423-6161

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: 15D2278583
Facility Type: Other - JAIL
Certificate Effective Date: March 21, 2025
Certificate Expiration Date: March 20, 2027
Laboratory Director: CAPTAIN TRAVIS KING
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Montgomery County Dialysis 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.

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 1285733584, 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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 16 → 1 + 6

Pos 4

Unchanged

Pos 5

Doubled → 14 → 1 + 4

Pos 6

Unchanged

Pos 7

Doubled → 6

Pos 8

Unchanged

Pos 9

Doubled → 16 → 1 + 6

Check

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 8 → 16 → 7 7 → 14 → 5 3 → 6 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 6 + 5 + 1 + 4 + 3 + 6 + 5 + 1 + 6 + 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 1285733584.