RENAL TREATMENT CTRS SOUTHEAST LP
NPI 1649698648
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Tacoma, WA

NPI Status: Active since April 07, 2014

Contact Information

1423 PACIFIC AVE
TACOMA, WA
ZIP 98402
Phone: (253) 382-1752

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
End-Stage Renal Disease (ESRD) Treatment
CLIA Number: 04D0900655
CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
CLIA Exp. Date: 01-02-2027

About RENAL TREATMENT CTRS SOUTHEAST LP

This page provides the complete NPI Profile along with additional information for Renal Treatment Ctrs Southeast Lp, a provider established in Tacoma, Washington operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1649698648 assigned on April 2014. The practitioner's primary taxonomy code is 261QE0700X with license number 04D0900655 (AR). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's other name is Renal Treatment Ctrs Southeast Lp. The authorized official of this NPI record is Kent Thiry Chairman (Ceo)

NPI: 1649698648
Provider Legal Name: SOUTH ARKANSAS DIALYSIS
Other Organization Name: RENAL TREATMENT CTRS SOUTHEAST LP
Other Name Type: Other Name (5)
Entity Type: Organization
Location Address: 1423 PACIFIC AVE TACOMA, WA 98402
Location Phone: (253) 382-1752
Mailing Address: 620 W GROVE ST EL DORADO, AR 71730
Mailing Phone: (870) 862-8788
Mailing Fax
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 04-07-2014
Last Update Date: 04-07-2014
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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
License No.: 04D0900655
License State: AR

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	261QE0700X	Ambulatory Health Care Facilities	Clinic/Center End-Stage Renal Disease (ESRD) Treatment	1508100017 (AR)

Insurance Plans Accepted

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

Medicare

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

Medicaid

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: KENT THIRY CHAIRMAN
Authorized Official Title: CEO
Authorized Official Phone: (303) 876-6000

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
198755134	MEDICAID (05)	AR

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: 04D0900655
Facility Type: End Stage Renal Disease Dialysis Facility
Certificate Effective Date: January 03, 2025
Certificate Expiration Date: January 02, 2027
Laboratory Director: MICHAEL D. SCHONEFELD
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Renal Treatment Ctrs Southeast Lp 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 1649698648, we treat the final digit (8) 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 82. The final step is to find the difference between that total and the next multiple of ten (90 - 82 = 8).

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 → 16 → 1 + 6

Pos 8

Unchanged

Pos 9

Doubled → 8

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 8 → 16 → 7 4 → 8

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 + 9 + 1 + 6 + 6 + 8 + 24 = 82

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

The next multiple of ten after 82 is 90. The difference is the calculated check digit.

90 - 82 = 8

This NPI is valid

The calculated check digit is 8, which matches the last digit of 1649698648.