ELIZABETHTOWN CENTER LLC – NPI #1053742569
Clinic/Center
ELIZABETHTOWN CENTER LLC is an AHC clinic located in ELIZABETHTOWN, NY. NPPES has assigned the NPI number 1053742569 to ELIZABETHTOWN CENTER LLC on December 09, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment
The NPI profile was last updated on May 20, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELIZABETHTOWN CENTER LLC below.
NPI Profile for
ELIZABETHTOWN CENTER LLC
(more than 12 years ago)
ELIZABETHTOWN, NY 12932-2300 Phone: (518) 873-2162 Fax: (518) 873-2144
ELIZABETHTOWN, NY 12932-0277 Phone: (518) 873-2162 Fax: (518) 873-2144
CHIEF NURSING OFFICER
Phone: (208) 371-7878
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for ELIZABETHTOWN CENTER LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | NY | 03937280 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QE0700X - Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.