SHANNON DIALYSIS SERVICES - BRADY
NPI 1699016337
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Brady, TX
NPI Status: Active since March 05, 2013
Contact Information
2008 NINE RD
BRADY, TX
ZIP 76825
Phone: (325) 597-2901
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- CLIA Number: 45D0660021
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-08-2027
About SHANNON DIALYSIS SERVICES - BRADY
This page provides the complete NPI Profile along with additional information for Shannon Dialysis Services - Brady, a provider established in Brady, Texas operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1699016337 assigned on March 2013. The practitioner's primary taxonomy code is 261QE0700X with license number APPLIED FOR (TX). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Shannon Dialysis Services - Brady. The authorized official of this NPI record is Bryan Horner (Ceo)
- NPI
- 1699016337
- Provider Legal Name
- SHANNON MEDICAL CENTER
- Other Organization Name
- SHANNON DIALYSIS SERVICES - BRADY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2008 NINE RD BRADY, TX 76825
- Location Phone
- (325) 597-2901
- Mailing Address
- 120 E HARRIS AVE SAN ANGELO, TX 76903
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-05-2013
- Last Update Date
- 03-05-2013
- Code Navigator
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.
- APPLIED FOR
- License State
- TX
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
- 45D0660021
- Facility Type
- Hospital
- Certificate Effective Date
- February 09, 2025
- Certificate Expiration Date
- February 08, 2027
- Laboratory Director
- DR. KELLY C. HALLMARK
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Shannon Dialysis Services - Brady on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha 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 1699016337, 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
BRADY, TX 76825
BRADY, TX 76825
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699016337, enumerated as an "organization" on March 05, 2013.
The provider is located at 2008 NINE RD BRADY, TX 76825 and the phone number is (325) 597-2901.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
