NEOMEDICA HAZELCREST
NPI 1235244070
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Hazel Crest, IL

NPI Status: Active since August 20, 2006

Contact Information

17524 E CARRIAGEWAY DR
HAZEL CREST, IL
ZIP 60429
Phone: (708) 798-2899

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

About NEOMEDICA HAZELCREST

This page provides the complete NPI Profile along with additional information for Neomedica Hazelcrest, a provider established in Hazel Crest, Illinois operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1235244070 assigned on August 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 Neomedica Hazelcrest. The authorized official of this NPI record is Mark Fawcett (Treasurer)

NPI
1235244070
Provider Legal Name
NATIONAL MEDICAL CARE, INC.
Other Organization Name
NEOMEDICA HAZELCREST
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
17524 E CARRIAGEWAY DR HAZEL CREST, IL 60429
Location Phone
(708) 798-2899
Mailing Address
17524 E CARRIAGEWAY DR HAZEL CREST, IL 60429
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-20-2006
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.
1235244070
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265448014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 4 + 4 + 8 + 0 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1235244070 is valid because the calculated check digit 0 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 1235244070, enumerated in the NPI registry as an "organization" on August 20, 2006

The provider is located at 17524 E Carriageway Dr Hazel Crest, Il 60429 and the phone number is (708) 798-2899

This medical organization specializes in Clinic/Center with taxonomy code 261QE0700X with a focus in End-Stage Renal Disease (ESRD) Treatment

This NPI record was last updated on August 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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