|Provider Name||WEST BOUNTIFUL DIALYSIS|
|Provider Location Address||724 W 500 S STE 300 WEST BOUNTIFUL, UT 84087|
|Provider Mailing Address||5200 VIRGINIA WAY L&C DEPT BRENTWOOD, TN 37027|
|NPI Entity Type||Organization|
|Is Sole Proprietor?||N/A|
|Is Organization Subpart?||No|
|Other Organization Name||WEST BOUNTIFUL DIALYSIS|
|Other Name Type||Doing Business As (3)|
|Last Update Date||07-15-2020|
According to the Dialysis Facility Compare program data, West Bountiful Dialysis has a much above average overall quality rating based on the patient's quality of care based on data that dialysis centers report to Medicare. The Quality of Patient Star Rating for this facility is 5 out of 5 stars.
The CLIA number of West Bountiful Dialysis is 46D0944762 registered as a "end stage renal disease dialysis" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to West Bountiful 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.
|Type||Ambulatory Health Care Facilities|
|Specialization||End-Stage Renal Disease (ESRD) Treatment|
WEST BOUNTIFUL DIALYSIS
724 W 500 S
WEST BOUNTIFUL, UT
Phone: (801) 296-9091
Fax: (801) 296-9094
WEST BOUNTIFUL DIALYSIS
5200 VIRGINIA WAY
Phone: (615) 341-6814
Fax: (800) 293-8405
Dialysis Facility Compare 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 the NPI number 1629032610 is:
|Facility Type||END STAGE RENAL DISEASE DIALYSIS|
|Certificate Type||Certificate of Waiver|
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
|Identifier||Type / Code||Identifier State|
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.|
|Step 1: Double the value of the alternate digits, beginning with the rightmost digit.|
|Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.|
|2 + 6 + 4 + 9 + 0 + 3 + 4 + 6 + 2 + 24 = 60|
|Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.|
The NPI number 1629032610 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
West Bountiful Dialysis is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:
- 1 = Person: individual human being who furnishes health care.
- 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.