SHRINERS HOSPITALS FOR CHILDREN ERIE
NPI 1285775171
Special Hospital in Erie, PA

NPI Status: Active since February 12, 2007

Contact Information

1645 W 8TH ST
ERIE, PA
ZIP 16505
Phone: (814) 875-8700
Fax: (814) 875-8756

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  • Organization
  • Special Hospital
  • CLIA Number: 39D2038166
  • CLIA Cert. Type: Other - OUTPT CLINIC
  • CLIA Exp. Date: 03-13-2026

About SHRINERS HOSPITALS FOR CHILDREN ERIE

This page provides the complete NPI Profile along with additional information for Shriners Hospitals For Children Erie, a provider established in Erie, Pennsylvania operating as a Special Hospital. The healthcare provider is registered in the NPI registry with number 1285775171 assigned on February 2007. The practitioner's primary taxonomy code is 284300000X with license number 196801 (PA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Charles R Walczak (Administrator)

NPI
1285775171
Provider Name
SHRINERS HOSPITALS FOR CHILDREN ERIE
Entity Type
Organization
Location Address
1645 W 8TH ST ERIE, PA 16505
Location Phone
(814) 875-8700
Location Fax
(814) 875-8756
Mailing Address
P O BOX 8500 LOCK BOX 8347 PHILADELPHIA, PA 19178
Mailing Phone
(813) 281-8478
Mailing Fax
(814) 875-8756
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-12-2007
Last Update Date
03-22-2011
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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

Special Hospital

Taxonomy Code
284300000X
Type
Hospitals
License No.
196801
License State
PA
Taxonomy Description
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.

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

CHARLES R WALCZAK

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(814) 875-8700

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
39D2038166
Facility Type
Other - OUTPT CLINIC
Certificate Effective Date
March 14, 2024
Certificate Expiration Date
March 13, 2026
Laboratory Director
DR. JENNIFER M. NABER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Shriners Hospitals For Children Erie 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.

Reviews for SHRINERS HOSPITALS FOR CHILDREN ERIE

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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.
1285775171
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2216514710114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 4 + 7 + 1 + 0 + 1 + 1 + 4 + 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 = 11

The NPI number 1285775171 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902163504 TERESA EMERSON
Individual
Physical Therapist1645 W 8TH ST
ERIE, PA 16505
(814) 875-8700
1699032193 TRICIA MAHONEY PT
Individual
Physical Therapist1645 W 8TH ST
ERIE, PA 16505
(814) 451-5654
1497012934 TRICIA BUCCI MPT
Individual
Physical Therapist1645 W 8TH ST
ERIE, PA 16505
(814) 451-5652
1164799789SHRINERS HOSPITALS FOR CHILDREN
Organization
Clinic/Center (Rehabilitation)1645 W 8TH ST
ERIE, PA 16505
(814) 875-8700
1568585057 NICOLE LAVERY MS OTR/L
Individual
Occupational Therapist (Pediatrics)1645 W 8TH ST
ERIE, PA 16505
(814) 875-8850
1912246935MRS. REBECCA LELONEK BOWMAN DPT
Individual
Physical Therapist1645 W 8TH ST
ERIE, PA 16505
(814) 875-8800
1093044414 ELIZABETH DE LEON SOTO MS, OTR/L
Individual
Occupational Therapist1645 W 8TH ST
ERIE, PA 16505
(814) 875-8700
1568738797MRS. JULIA MARSH HAWKINS OTR/L
Individual
Occupational Therapist (Pediatrics)1645 W 8TH ST
ERIE, PA 16505
(814) 875-8720
1871850701MR. KEVIN M COONEY PT
Individual
Physical Therapist1645 W 8TH ST
ERIE, PA 16505
(814) 875-8700
1013310101 ELIZABETH MEIGHEN PT, DPT
Individual
Physical Therapist1645 W 8TH ST
ERIE, PA 16505
(814) 875-8700
1386676179MRS. MELINDA ANN KIBLER M.S./CCC-A
Individual
Audiologist1645 W 8TH ST #200
ERIE, PA 16505
(814) 864-9994
1750316535 EDWARD JAMES CARRIG M.S.,C.C.C.-A
Individual
Audiologist1645 W 8TH ST #200
ERIE, PA 16505
(814) 864-9994
1710991559EAR NOSE AND THROAT SPECIALISTS OF NORTHWESTERN PENNSYLVANIA
Organization
Audiologist1645 W 8TH ST #200
ERIE, PA 16505
(814) 864-9994
1285992677MS. MARY F GAVACS OTR/L
Individual
Occupational Therapist (Pediatrics)1645 W 8TH ST
ERIE, PA 16505
(814) 875-8700
1194754846EAR NOSE AND THROAT SPECIALISTS OF NORTHWESTERN PENNSYLVANIA
Organization
Otolaryngology1645 W 8TH ST SUITE 200
ERIE, PA 16505
(814) 864-9994
1780099010MRS. HIMA BINDU DASARI AU.D.
Individual
Audiologist1645 W 8TH ST #200
ERIE, PA 16505
(814) 864-9994
1710243712 MIRANDA LYNN LISH OT
Individual
Occupational Therapist1645 W 8TH ST
ERIE, PA 16505
(814) 875-8700
1518378140 NICOLE LEWIS SLP
Individual
Speech-Language Pathologist1645 W 8TH ST
ERIE, PA 16505
(814) 875-8852
1750512356 REBECCA PIASECKI DPT
Individual
Physical Therapist1645 W 8TH ST
ERIE, PA 16505
(814) 875-8700
1245614668MS. BRITTANY R ZIEGLER PT, DPT
Individual
Physical Therapist1645 W 8TH ST
ERIE, PA 16505
(814) 875-8700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285775171, enumerated in the NPI registry as an "organization" on February 12, 2007

The provider is located at 1645 W 8th St Erie, Pa 16505 and the phone number is (814) 875-8700

This medical organization specializes in Special Hospital with taxonomy code 284300000X

The provider's CLIA number is 39D2038166 for a "other - outpt clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on February 12, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.