MEMORIAL HEALTH CLINIC
NPI 1063758480
Clinic/Center - Rural Health in Stamford, TX

NPI Status: Active since December 13, 2012

Contact Information

1303 MABEE ST
STAMFORD, TX
ZIP 79553
Phone: (325) 773-2725
Fax: (325) 773-3781

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  • Organization
  • Clinic/Center
  • Rural Health

About MEMORIAL HEALTH CLINIC

This page provides the complete NPI Profile along with additional information for Memorial Health Clinic, a primary care provider established in Stamford, Texas operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1063758480 assigned on December 2012. The practitioner's primary taxonomy code is 261QR1300X with license number 000043 (TX). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Memorial Health Clinic. The authorized official of this NPI record is Richard G Defoore (Ceo)

NPI
1063758480
Provider Legal Name
JONES COUNTY REGONIAL HEALTHCARE SYSTEM
Other Organization Name
MEMORIAL HEALTH CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1303 MABEE ST STAMFORD, TX 79553
Location Phone
(325) 773-2725
Location Fax
(325) 773-3781
Mailing Address
PO BOX 911 STAMFORD, TX 79553
Mailing Phone
(325) 773-2725
Mailing Fax
(325) 773-3781
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-13-2012
Last Update Date
12-13-2012
Code Navigator

A primary care provider (PCP) like Memorial Health Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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 Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities
License No.
000043
License State
TX

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

RICHARD G DEFOORE

Authorized Official Title
CEO
Authorized Official Phone
(325) 773-2725

Reviews for MEMORIAL HEALTH CLINIC

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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.
1063758480
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2012314516416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 4 + 5 + 1 + 6 + 4 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1063758480 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 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174158778HASKELL COUNTY HOSPITAL
Organization
Clinic/Center (Rural Health)1303 MABEE ST
STAMFORD, TX 79553
(325) 773-5733
1851057103STAMFORD HOSPITAL DISTRICT
Organization
Clinic/Center (Rural Health)1303 MABEE ST
STAMFORD, TX 79553
(325) 773-2900
1750407938MS. JEANNE KAY CASON FNP-BC
Individual
Nurse Practitioner (Family)1303 MABEE ST
STAMFORD, TX 79553
(325) 773-5733
1326423591 LAURA DOKUPIL FNP-C
Individual
Nurse Practitioner (Family)1303 MABEE ST
STAMFORD, TX 79553
(325) 773-2900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063758480, enumerated in the NPI registry as an "organization" on December 13, 2012

The provider is located at 1303 Mabee St Stamford, Tx 79553 and the phone number is (325) 773-2725

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

This NPI record was last updated on December 13, 2012. 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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