ST VINCENT HOSPITAL RENAL DIALYSIS
NPI 1629051990
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Green Bay, WI
NPI Status: Active since November 21, 2005
Contact Information
1920 LIBAL ST
GREEN BAY, WI
ZIP 54301
Phone: (920) 433-8287
Fax: (920) 433-8765
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- Accepts Insurance
About ST VINCENT HOSPITAL RENAL DIALYSIS
This page provides the complete NPI Profile along with additional information for St Vincent Hospital Renal Dialysis, a provider established in Green Bay, Wisconsin operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1629051990 assigned on November 2005. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as St Vincent Hospital Renal Dialysis. The authorized official of this NPI record is Ms. Joanne Horvath (Cfo)
- NPI
- 1629051990
- Provider Legal Name
- ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
- Other Organization Name
- ST VINCENT HOSPITAL RENAL DIALYSIS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1920 LIBAL ST GREEN BAY, WI 54301
- Location Phone
- (920) 433-8287
- Location Fax
- (920) 433-8765
- Mailing Address
- PO BOX 13508 GREEN BAY, WI 54307
- Mailing Phone
- (920) 433-8287
- Mailing Fax
- (920) 433-8765
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-21-2005
- Last Update Date
- 12-23-2021
- Code Navigator
Location Map
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
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Chorus Bronze Complete - EPO
- Chorus Bronze HDHP - EPO
- Chorus Catastrophic - EPO
- Chorus Core Bronze - EPO
- Chorus Core Gold - EPO
- Chorus Core Silver - EPO
- Chorus Elite Gold - EPO
- Chorus Gold - EPO
- Chorus Silver - EPO
- Chorus Silver Select - EPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| 42064500 | MEDICAID (05) | WI |
Reviews for ST VINCENT HOSPITAL RENAL DIALYSIS
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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. | |||||||||
| 1 | 6 | 2 | 9 | 0 | 5 | 1 | 9 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 4 | 9 | 0 | 5 | 2 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 4 + 9 + 0 + 5 + 2 + 9 + 1 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1629051990 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114028164 | KRISTINE A KLONOWSKI MS, CCC/SLP Individual | Speech-Language Pathologist | 1920 LIBAL ST GREEN BAY, WI 54301 (920) 433-0111 |
| 1194964726 | JENNY LYNN ZEITLER PTA Individual | Physical Therapy Assistant | 1920 LIBAL ST GREEN BAY, WI 54301 (920) 433-0111 |
| 1023295870 | TONY JAMES BUSSE PT Individual | Physical Therapist | 1920 LIBAL ST GREEN BAY, WI 54301 (920) 433-0111 |
| 1831246404 | BELLIN MEMORIAL HOSPITAL INC Organization | Home Health | 1920 LIBAL ST GREEN BAY, WI 54301 (920) 432-5434 |
| 1427689074 | TAYLOR RAE ROTHERHAM-DECREMER NP Individual | Nurse Practitioner | 1920 LIBAL ST GREEN BAY, WI 54301 (920) 436-8691 |
| 1740781715 | LINDSEY SHEA CONARD OT Individual | Occupational Therapist | 1920 LIBAL ST GREEN BAY, WI 54301 (920) 432-5434 |
| 1659944940 | MS. KELLY SAROSIEK DNP, APNP, FNP-BC Individual | Nurse Practitioner (Family) | 1920 LIBAL ST GREEN BAY, WI 54301 (800) 528-7883 |
| 1861216384 | EDINAM LONG DNP Individual | Nurse Practitioner (Family) | 1920 LIBAL ST GREEN BAY, WI 54301 (715) 732-1648 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629051990, enumerated in the NPI registry as an "organization" on November 21, 2005
The provider is located at 1920 Libal St Green Bay, Wi 54301 and the phone number is (920) 433-8287
This medical organization specializes in Clinic/Center with taxonomy code 261QE0700X with a focus in End-Stage Renal Disease (ESRD) Treatment
The provider might be accepting Accepts: Chorus Community Health Plans, Molina Healthcare,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on November 21, 2005. 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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