FAXTON ST LUKES HEALTHCARE – NPI #1417127721
Clinic/Center

FAXTON ST LUKES HEALTHCARE is an AHC clinic located in HAMILTON, NY. NPPES has assigned the NPI number 1417127721 to FAXTON ST LUKES HEALTHCARE on March 04, 2008. 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 previously updated about 3 years ago on Jul 12, 2023. 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 FAXTON ST LUKES HEALTHCARE below.

NPI Profile for
FAXTON ST LUKES HEALTHCARE

NPI Number
1417127721
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAXTON ST LUKES HEALTHCARE
Primary location
10 EATON ST
SUITE 102
HAMILTON, NY 13346
Phone: (315) 824-2639 Fax: (315) 824-2513
Mailing address
2209 GENESEE ST/ BUSINESS OFFICE
ROOM #315
UTICA, NY 13501-5809
Phone: (315) 801-3282 Fax: (315) 824-2513
Organization Subpart
Yes - FAXTON ST LUKES HEALTHCARE is subpart of another organization.
Authorized Official
CODY WHITE
DIRECTOR OF REVENUE CYCLE
Phone: (315) 801-4429
Updated
Certification Date
Jul 12, 2023

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.

Taxonomy Code(s)

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)		 NY 3202003H

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1068.1
Content Type
Affiliation
Y
Endpoint Location
2720 DUNDEE RD # 302,
NORTHBROOK, IL 77025-1669