WHITE EAGLE DIALYSIS CENTER
NPI 1649623620
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Ponca City, OK

NPI Status: Active since July 14, 2016

Contact Information

200 WHITE EAGLE DR
PONCA CITY, OK
ZIP 74601
Phone: (580) 765-2501
Fax: (580) 765-6348

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: 37D0901496
CLIA Cert. Type: Other - TRIBAL HEALTH CENTER
CLIA Exp. Date: 01-28-2026

About WHITE EAGLE DIALYSIS CENTER

This page provides the complete NPI Profile along with additional information for White Eagle Dialysis Center, a provider established in Ponca City, Oklahoma operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1649623620 assigned on July 2016. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. Joseph Blan Rn (Dialysis Director)

NPI: 1649623620
Provider Name: WHITE EAGLE DIALYSIS CENTER
Entity Type: Organization
Location Address: 200 WHITE EAGLE DR PONCA CITY, OK 74601
Location Phone: (580) 765-2501
Location Fax: (580) 765-6348
Mailing Address: 200 WHITE EAGLE DR PONCA CITY, OK 74601
Mailing Phone: (580) 765-2501
Mailing Fax: (580) 765-6348
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 07-14-2016
Last Update Date: 07-14-2016
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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: MR. JOSEPH BLAN RN
Authorized Official Title: DIALYSIS DIRECTOR
Authorized Official Phone: (580) 765-2501

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: 37D0901496
Facility Type: Other - TRIBAL HEALTH CENTER
Certificate Effective Date: January 29, 2024
Certificate Expiration Date: January 28, 2026
Laboratory Director: RITA J. ARCHER
Certificate Type: Certificate of Compliance
Certificate Type Description: This CLIA certificate is issued to White Eagle Dialysis Center 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.

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 1649623620, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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 → 8

Pos 4

Unchanged

Pos 5

Doubled → 12 → 1 + 2

Pos 6

Unchanged

Pos 7

Doubled → 6

Pos 8

Unchanged

Pos 9

Doubled → 4

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 4 → 8 6 → 12 → 3 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 8 + 9 + 1 + 2 + 2 + 6 + 6 + 4 + 24 = 70

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

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

70 - 70 = 0

This NPI is valid

The calculated check digit is 0, which matches the last digit of 1649623620.