CPS - ELIZABETHTOWN ASC LLC
NPI 1790512226
Clinic/Center - Ambulatory Surgical in Elizabethtown, KY

NPI Status: Active since September 18, 2024

Contact Information

1141 CROWN POINTE DR
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 506-3300
Fax: (270) 506-2843

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 18D2339241
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 02-25-2028

About CPS - ELIZABETHTOWN ASC LLC

This page provides the complete NPI Profile along with additional information for Cps - Elizabethtown Asc Llc, a provider established in Elizabethtown, Kentucky operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1790512226 assigned on September 2024. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Jason Lewis Md (Owner)

NPI
1790512226
Provider Name
CPS - ELIZABETHTOWN ASC LLC
Entity Type
Organization
Location Address
1141 CROWN POINTE DR ELIZABETHTOWN, KY 42701
Location Phone
(270) 506-3300
Location Fax
(270) 506-2843
Mailing Address
223 EXECUTIVE PARK LOUISVILLE, KY 40207
Mailing Phone
(502) 907-0356
Mailing Fax
(270) 506-2843
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-18-2024
Last Update Date
09-18-2024
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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 Ambulatory Surgical

Taxonomy Code
261QA1903X
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

JASON LEWIS MD

Authorized Official Title
OWNER
Authorized Official Phone
(502) 855-7200

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
18D2339241
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
February 26, 2026
Certificate Expiration Date
February 25, 2028
Laboratory Director
DR. CHRISTOPHER ANDERSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cps - Elizabethtown Asc Llc 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.

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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 1790512226, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
6
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 9 → 18 → 9 5 → 10 → 1 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 8 + 0 + 1 + 0 + 1 + 4 + 2 + 4 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1790512226.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790512226, enumerated as an "organization" on September 18, 2024.

The provider is located at 1141 CROWN POINTE DR ELIZABETHTOWN, KY 42701 and the phone number is (270) 506-3300.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.