WATERTOWN DIALYSIS CENTER
NPI 1710368618
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Watertown, NY
NPI Status: Active since June 16, 2015
Contact Information
22571 SUMMIT DR
WATERTOWN, NY
ZIP 13601
Phone: (315) 779-2140
Fax: (315) 779-2145
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- CLIA Number: 33D1067235
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 03-26-2027
About WATERTOWN DIALYSIS CENTER
This page provides the complete NPI Profile along with additional information for Watertown Dialysis Center, a provider established in Watertown, New York operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1710368618 assigned on June 2015. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Watertown Dialysis Center. The authorized official of this NPI record is Barry L. Blanton (Vice President)
- NPI
- 1710368618
- Provider Legal Name
- WATERTOWN DIALYSIS CENTER, LLC
- Other Organization Name
- WATERTOWN DIALYSIS CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 22571 SUMMIT DR WATERTOWN, NY 13601
- Location Phone
- (315) 779-2140
- Location Fax
- (315) 779-2145
- Mailing Address
- 22571 SUMMIT DR WATERTOWN, NY 13601
- Mailing Phone
- (315) 779-2140
- Mailing Fax
- (315) 779-2145
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-16-2015
- Last Update Date
- 10-18-2023
- 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
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
- 33D1067235
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- April 13, 2007
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- DR. KHALID P. SINDHU
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Watertown Dialysis Center 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.
Reviews for WATERTOWN DIALYSIS CENTER
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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. | |||||||||
| 1 | 7 | 1 | 0 | 3 | 6 | 8 | 6 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 6 | 6 | 16 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 6 + 6 + 1 + 6 + 6 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1710368618 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
MS. ERIN L. BIRCHENOUGH NP
Nurse Practitioner
(Family)
22571 SUMMIT DR
SUITE B
WATERTOWN, NY
ZIP 13601
MS. ANN M FONS FNP
Nurse Practitioner
(Family)
22571 SUMMIT DR
WATERTOWN, NY
ZIP 13601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710368618, enumerated as an "organization" on June 16, 2015.
The provider is located at 22571 SUMMIT DR WATERTOWN, NY 13601 and the phone number is (315) 779-2140.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
