EVANSTON DIALYSIS CENTER
NPI 1255304051
Clinic/center, End-stage Renal Disease (esrd) Treatment in Evanston,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 10, 2006

Contact Information

112 Yellow Creek Rd
Evanston,
Post Code: 82930
Phone: (307) 789-3636
Fax: -

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Evanston Dialysis Center in Evanston - Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

Evanston Dialysis Center is a Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Evanston, . Evanston Dialysis Center practices all healthcare services and medical treatments related to Clinic/Center, End-Stage Renal Disease (ESRD) Treatment. The NPI Number for Evanston Dialysis Center is 1255304051. The last update date is 2020-09-03.

Evanston Dialysis Center's current location address is 112 Yellow Creek Rd, Evanston, . You can contact this provider via phone number (307) 789-3636 and fax number -. The mailing address for Evanston Dialysis Center is 112 Yellow Creek Rd, Evanston, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1255304051
Provider Legal Name
EVANSTON HOSPITAL CORPORATION
Other Organization Name
EVANSTON DIALYSIS CENTER
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
112 Yellow Creek Rd, Evanston,
Location Phone
(307) 789-3636
Location Fax
-
Mailing Address
190 Arrowhead Dr, Evanston, Wyoming(WY)
Mailing Phone
307-789-3636
Mailing Fax
-
Enumeration Date
2006-02-10
Last Update Date
2020-09-03
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.
06-102
License State
Wyoming (WY)
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
114835407 MEDICAID (05) Wyoming (WY)

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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.
1255304051
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105608010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 22105608010
2 + 2 + 1 + 0 + 5 + 6 + 0 + 8 + 0 + 1 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 1 1

The NPI number 1255304051 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
1144223272 MARK FREDERICK HOFFMANN
Individual
Obstetrics & Gynecology 2710 E HARNEY ST
LARAMIE, Wyoming (WY)
307-745-8991
1073516571 SHAUNA K MCKUSKER
Individual
Ophthalmology 1300 E 20TH ST
CHEYENNE, Wyoming (WY)
307-634-2020
1235134438 DANIEL ROBERT ALZHEIMER
Individual
Radiology, Diagnostic Radiology 1401 W 5TH ST
SHERIDAN, Wyoming (WY)
307-672-1048
1164427274 JEFFERY W EDSTROM
Individual
Nurse Anesthetist, Certified Registered 553 N PINNACLE DR
BUFFALO, Wyoming (WY)
307-684-7817
1235134230 TIMOTHY J PIEPER
Individual
Dentist, General Practice 2017 CAMPBELL DR
TORRINGTON, Wyoming (WY)
307-532-4448