ST JOSEPHS NEIGHBORHOOD CENTER INC
NPI 1316496920
Voluntary or Charitable in Rochester, NY

NPI Status: Active since September 23, 2016

Contact Information

417 SOUTH AVENUE
ROCHESTER, NY
ZIP 14620
Phone: (585) 325-5260
Fax: (585) 325-6145

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  • Organization
  • Voluntary or Charitable
  • CLIA Number: 33D0891416
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 03-26-2027

About ST JOSEPHS NEIGHBORHOOD CENTER INC

This page provides the complete NPI Profile along with additional information for St Josephs Neighborhood Center Inc, a provider established in Rochester, New York operating as a Voluntary Or Charitable. The healthcare provider is registered in the NPI registry with number 1316496920 assigned on September 2016. The practitioner's primary taxonomy code is 251V00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Dr. Christine Cecilia Wagner Phd (Executive Director)

NPI
1316496920
Provider Name
ST JOSEPHS NEIGHBORHOOD CENTER INC
Entity Type
Organization
Location Address
417 SOUTH AVENUE ROCHESTER, NY 14620
Location Phone
(585) 325-5260
Location Fax
(585) 325-6145
Mailing Address
417 SOUTH AVE ROCHESTER, NY 14620
Mailing Phone
(585) 325-5260
Mailing Fax
(585) 325-6145
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-23-2016
Last Update Date
09-23-2016
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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

Voluntary or Charitable

Taxonomy Code
251V00000X
Type
Agencies

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

DR. CHRISTINE CECILIA WAGNER PHD

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(585) 325-5260

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
33D0891416
Facility Type
Community Clinic
Certificate Effective Date
November 12, 1996
Certificate Expiration Date
March 26, 2027
Laboratory Director
SARAH E. PERRY
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to St Josephs Neighborhood Center Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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.
1316496920
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2326891294
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 8 + 9 + 1 + 2 + 9 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1316496920 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 1316496920, enumerated in the NPI registry as an "organization" on September 23, 2016

The provider is located at 417 South Avenue Rochester, Ny 14620 and the phone number is (585) 325-5260

This medical organization specializes in Voluntary or Charitable with taxonomy code 251V00000X

The provider's CLIA number is 33D0891416 for a "community clinic" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on September 23, 2016. 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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