ST. LOUIS RENAL CARE - PRINCE HALL
NPI 1790845196
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Saint Louis, MO
NPI Status: Active since December 08, 2006
Contact Information
4411 N NEWSTEAD AVE
2ND FLOOR
SAINT LOUIS, MO
ZIP 63115
Phone: (314) 381-7696
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
About ST. LOUIS RENAL CARE - PRINCE HALL
This page provides the complete NPI Profile along with additional information for St. Louis Renal Care - Prince Hall, a provider established in Saint Louis, Missouri operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1790845196 assigned on December 2006. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as St. Louis Renal Care - Prince Hall. The authorized official of this NPI record is Mark Fawcett (Treasurer)
- NPI
- 1790845196
- Provider Legal Name
- SAINT LOUIS RENAL CARE, LLC
- Other Organization Name
- ST. LOUIS RENAL CARE - PRINCE HALL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4411 N NEWSTEAD AVE 2ND FLOOR SAINT LOUIS, MO 63115
- Location Phone
- (314) 381-7696
- Mailing Address
- 4411 N NEWSTEAD AVE 2ND FLOOR SAINT LOUIS, MO 63115
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-08-2006
- Last Update Date
- 10-15-2008
- 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:
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 |
|---|---|---|---|
| 262598 | MEDICARE OSCAR/CERTIFICATION (06) | MO |
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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 | 7 | 9 | 0 | 8 | 4 | 5 | 1 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 16 | 4 | 10 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 6 + 4 + 1 + 0 + 1 + 1 + 8 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1790845196 is valid because the calculated check digit 6 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 |
|---|---|---|---|
| 1023221744 | MR. WILLIAM GEORGE RANDLE JR. MSW, LCSW Individual | Social Worker (Clinical) | 4411 N NEWSTEAD AVE SAINT LOUIS, MO 63115 (314) 531-1770 |
| 1538298724 | MRS. IKETIA WILLIAMS-PATTON LPC Individual | Counselor (Mental Health) | 4411 N NEWSTEAD AVE SAINT LOUIS, MO 63115 (314) 531-1770 |
| 1053683110 | JONES HOME HEALTH CARE, INC. Organization | Home Health | 4411 N NEWSTEAD AVE SUITE 111 SAINT LOUIS, MO 63115 (314) 381-1970 |
| 1295867042 | PREFERRED FAMILY HEALTHCARE Organization | Community/Behavioral Health | 4411 N NEWSTEAD AVE SUITE 200 SAINT LOUIS, MO 63115 (314) 932-1207 |
| 1215140561 | CARESTL HEALTH Organization | Clinic/Center (Dental) | 4411 N NEWSTEAD AVE ST LOUIS, MO 63115 (314) 381-9990 |
| 1881633881 | LINDA J HUGHES-BELFORD D.O. Individual | Psychiatry & Neurology (Psychiatry) | 4411 N NEWSTEAD AVE SAINT LOUIS, MO 63115 (314) 531-1770 |
| 1063625515 | HOPEWELL CENTER Organization | Case Management | 4411 N NEWSTEAD AVE SAINT LOUIS, MO 63115 (314) 531-1770 |
| 1679776124 | ST. LOUIS RENAL CARE LLC. PRINCE HALL Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 4411 N NEWSTEAD AVE 2ND FLOOR DIALYSIS SAINT LOUIS, MO 63115 (314) 879-6278 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790845196, enumerated in the NPI registry as an "organization" on December 08, 2006
The provider is located at 4411 N Newstead Ave 2nd Floor Saint Louis, Mo 63115 and the phone number is (314) 381-7696
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: Medicare and Medicaid. 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 December 08, 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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