ELLIS HOSPITAL
NPI 1518729557
Clinic/Center - Urgent Care in Halfmoon, NY

NPI Status: Active since January 25, 2024

Contact Information

103 SITTERLY RD STE 1100
HALFMOON, NY
ZIP 12065
Phone: (518) 579-2555

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 33D2039682
  • CLIA Cert. Type: Other - URGENT CARE CENTER
  • CLIA Exp. Date: 03-26-2027

About ELLIS HOSPITAL

This page provides the complete NPI Profile along with additional information for Ellis Hospital, a provider established in Halfmoon, New York operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1518729557 assigned on January 2024. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Cynthia Ann Wicks (Manager Accounts Receivable)

NPI
1518729557
Provider Name
ELLIS HOSPITAL
Entity Type
Organization
Location Address
103 SITTERLY RD STE 1100 HALFMOON, NY 12065
Location Phone
(518) 579-2555
Mailing Address
PO BOX 1022 SCHENECTADY, NY 12301
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-25-2024
Last Update Date
01-25-2024
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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 Urgent Care

Taxonomy Code
261QU0200X
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

CYNTHIA ANN WICKS

Authorized Official Title
MANAGER ACCOUNTS RECEIVABLE
Authorized Official Phone
(518) 382-2313

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
33D2039682
Facility Type
Other - URGENT CARE CENTER
Certificate Effective Date
April 16, 2012
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. XIAOHE YANG
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Ellis Hospital after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that 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 1518729557, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
5
Unchanged
Pos 3
1
Doubled → 2
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
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 1 → 2 7 → 14 → 5 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 2 + 8 + 1 + 4 + 2 + 1 + 8 + 5 + 1 + 0 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1518729557.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518729557, enumerated as an "organization" on January 25, 2024.

The provider is located at 103 SITTERLY RD STE 1100 HALFMOON, NY 12065 and the phone number is (518) 579-2555.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.