RENAL CARE GROUP-SOUTHEAST VALLEY
NPI 1821171026
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Queen Creek, AZ

NPI Status: Active since October 23, 2006

Contact Information

22715 S ELLSWORTH RD
BUILDING D
QUEEN CREEK, AZ
ZIP 85242
Phone: (480) 677-2463

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment

About RENAL CARE GROUP-SOUTHEAST VALLEY

This page provides the complete NPI Profile along with additional information for Renal Care Group-southeast Valley, a provider established in Queen Creek, Arizona operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1821171026 assigned on October 2006. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Renal Care Group-southeast Valley. The authorized official of this NPI record is Mark Fawcett (Treasurer)

NPI
1821171026
Provider Legal Name
RENAL DIMENSIONS, LLC
Other Organization Name
RENAL CARE GROUP-SOUTHEAST VALLEY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
22715 S ELLSWORTH RD BUILDING D QUEEN CREEK, AZ 85242
Location Phone
(480) 677-2463
Mailing Address
22715 S ELLSWORTH RD BUILDING D QUEEN CREEK, AZ 85242
Mailing Phone
(480) 677-2463
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-23-2006
Last Update Date
08-22-2020
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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

MARK FAWCETT

Authorized Official Title
TREASURER
Authorized Official Phone
(781) 402-9000

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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.
1821171026
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
284127204
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 2 + 7 + 2 + 0 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1821171026 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821171026, enumerated as an "organization" on October 23, 2006.

The provider is located at 22715 S ELLSWORTH RD BUILDING D QUEEN CREEK, AZ 85242 and the phone number is (480) 677-2463.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.