SALEM KIDNEY CENTER
NPI 1114904141
Clinic/center, End-stage Renal Disease (esrd) Treatment in Winston-salem,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 30, 2005

Contact Information

2705 Boulder Park Ct
Winston-salem,
Post Code: 27101
Phone: (336) 761-8808
Fax: (336) 761-8864

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Salem Kidney Center in Winston-salem - Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

Salem Kidney Center is a Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Winston-salem, . Salem Kidney Center practices all healthcare services and medical treatments related to Clinic/Center, End-Stage Renal Disease (ESRD) Treatment. The NPI Number for Salem Kidney Center is 1114904141. The last update date is 2023-08-15.

Salem Kidney Center's current location address is 2705 Boulder Park Ct, Winston-salem, . You can contact this provider via phone number (336) 761-8808 and fax number (336) 761-8864. The mailing address for Salem Kidney Center is 2705 Boulder Park Ct, Winston-salem, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1114904141
Provider Legal Name
SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY
Other Organization Name
SALEM KIDNEY CENTER
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
2705 Boulder Park Ct, Winston-salem,
Location Phone
(336) 761-8808
Location Fax
(336) 761-8864
Mailing Address
Po Box 7710, Tifton, Georgia(GA)
Mailing Phone
229-387-3527
Mailing Fax
229-386-2149
Enumeration Date
2005-12-30
Last Update Date
2023-08-15
Code Navigator

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
-
License No.
-
License State
North Carolina (NC)
Taxonomy Description
-

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
0055E Other (non-Medicare) (01) North Carolina (NC) BCBS-NC
3402569 MEDICAID (05) North Carolina (NC)

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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.
1114904141
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124180818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2124180818
2 + 1 + 2 + 4 + 1 + 8 + 0 + 8 + 1 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1 1

The NPI number 1114904141 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114904133 NORTHSIDE DIALYSIS CENTER OF WAKE FOREST UNIVERSITY
NORTHSIDE DIALYSIS CENTER
Organization
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment 500 W HANES MILL RD
WINSTON-SALEM, North Carolina (NC)
336-744-0577
1114903911 WILLIAM SIDNEY GIBSON
Individual
Dentist, General Practice 904 SPIVEY RD
WHITEVILLE, North Carolina (NC)
910-648-7741
1114903861 GREGORY E BALDY
Individual
Chiropractor 3700 SIX FORKS RD
RALEIGH, North Carolina (NC)
919-787-8883
1114903564 MARY M. WALSH
Individual
Occupational Therapist, Hand PO BOX 87089
FAYETTEVILLE, North Carolina (NC)
910-484-4653
1114903432 DAVID G. BENNETT
Individual
Physician Assistant 100 BREWSTER BLVD
CAMP LEJEUNE, North Carolina (NC)
910-450-4799