NACOGDOCHES MEMORIAL HOSPITAL
NPI 1073183141
General Acute Care Hospital in Nacogdoches, TX
NPI Status: Active since June 30, 2021
Contact Information
1204 N MOUND ST
NACOGDOCHES, TX
ZIP 75961
Phone: (936) 564-4611
- Organization
- General Acute Care Hospital
- Accepts Insurance
- CLIA Number: 45D2087307
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-04-2026
About NACOGDOCHES MEMORIAL HOSPITAL
This page provides the complete NPI Profile along with additional information for Nacogdoches Memorial Hospital, a provider established in Nacogdoches, Texas operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1073183141 assigned on June 2021. The practitioner's primary taxonomy code is 282N00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Nacogdoches Memorial Hospital. The authorized official of this NPI record is Brandy Boyd Cpa (Chief Financial Officer)
- NPI
- 1073183141
- Provider Legal Name
- LION STAR NACOGDOCHES HOSPITAL, LLC
- Other Organization Name
- NACOGDOCHES MEMORIAL HOSPITAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1204 N MOUND ST NACOGDOCHES, TX 75961
- Location Phone
- (936) 564-4611
- Mailing Address
- 1204 N MOUND ST NACOGDOCHES, TX 75961
- Mailing Phone
- (936) 564-4611
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-30-2021
- Last Update Date
- 10-26-2022
- 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
General Acute Care Hospital
- Taxonomy Code
- 282N00000X
- Type
- Hospitals
- Taxonomy Description
- An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QA1903X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2087307
- Facility Type
- Physician Office
- Certificate Effective Date
- November 05, 2024
- Certificate Expiration Date
- November 04, 2026
- Laboratory Director
- MARIA JENKINS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Nacogdoches Memorial Hospital to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for NACOGDOCHES MEMORIAL HOSPITAL
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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 | 0 | 7 | 3 | 1 | 8 | 3 | 1 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 2 | 8 | 6 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 2 + 8 + 6 + 1 + 8 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1073183141 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1104875087 | MARY BETH CALME M.D. Individual | Radiology (Diagnostic Radiology) | 1204 N MOUND ST NACOGDOCHES MEMORIAL HOSPITAL RADIOLOGY DEPT NACOGDOCHES, TX 75961 (936) 558-3567 |
| 1700836335 | ALLEN TRACY GRISSON M.D. Individual | Radiology (Diagnostic Radiology) | 1204 N MOUND ST RADIOLOGY DEPARTMENT NACOGDOCHES, TX 75961 (936) 568-8514 |
| 1932137916 | MEMORIAL HOSPITAL Organization | Hospice Care, Community Based | 1204 N MOUND ST NACOGDOCHES, TX 75961 (936) 564-4611 |
| 1215968748 | MEMORIAL HOSPITAL Organization | Emergency Medicine | 1204 N MOUND ST NACOGDOCHES, TX 75961 (936) 564-4611 |
| 1336292838 | MR. JAMES H. NEWBERG CRNA Individual | Nurse Anesthetist, Certified Registered | 1204 N MOUND ST NACOGDOCHES, TX 75961 (936) 568-8444 |
| 1801940770 | LAWRENCE JOSEPH MONLEZUN CRNA, MSA Individual | Nurse Anesthetist, Certified Registered | 1204 N MOUND ST NACOGDOCHES, TX 75961 (936) 568-8444 |
| 1487708624 | DR. MALCOLM KENT LYON DO Individual | Emergency Medicine (Emergency Medical Services) | 1204 N MOUND ST NACOGDOCHES, TX 75961 (936) 568-8448 |
| 1699893396 | BRENDA J RIGGS M.D. Individual | Family Medicine | 1204 N MOUND ST NACOGDOCHES, TX 75961 (936) 568-8585 |
| 1013037696 | LAWRENCE QUINN ROBINSON MD Individual | Emergency Medicine | 1204 N MOUND ST NACOGDOCHES, TX 75961 (936) 569-4646 |
| 1043490188 | LIESEL E.A. LEEDY MD PA Organization | Anesthesiology | 1204 N MOUND ST NACOGDOCHES, TX 75961 (936) 564-4611 |
| 1275710634 | CHRISTY MICHELLE WEBB LMSW Individual | General Acute Care Hospital (Rural) | 1204 N MOUND ST NACOGDOCHES, TX 75961 (936) 564-4611 |
| 1942470208 | DR. MICHELE SPRECHMAN CURTIS M.D. Individual | Family Medicine | 1204 N MOUND ST NACOGDOCHES, TX 75961 (936) 564-4611 |
| 1760634604 | NANCY MARIE HILL R.D. Individual | Dietitian, Registered | 1204 N MOUND ST NACOGDOCHES, TX 75961 (936) 569-4164 |
| 1700195013 | VANESSA Y HOOPER MS, RD/LD Individual | Dietitian, Registered | 1204 N MOUND ST DIETARY DEPARTMENT NACOGDOCHES, TX 75961 (936) 569-4106 |
| 1942581756 | MRS. MARTI LEANNE RODRIGUEZ MS, RD, LD Individual | Dietitian, Registered | 1204 N MOUND ST NACOGDOCHES, TX 75961 (936) 569-4106 |
| 1104821180 | MRS. SABRINA GUILLORY CNM Individual | Advanced Practice Midwife | 1204 N MOUND ST NACOGDOCHES, TX 75961 (936) 569-4101 |
| 1689745374 | ALICIA G MURPHEY MD, PA Organization | Pathology (Anatomic Pathology & Clinical Pathology) | 1204 N MOUND ST NACOGDOCHES, TX 75961 (800) 288-8325 |
| 1285813436 | JOHN P GRAY MD PA Organization | Anesthesiology | 1204 N MOUND ST NACOGDOCHES, TX 75961 (936) 462-7844 |
| 1174590442 | MR. RONALD ANTHONY FREELAND C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 1204 N MOUND ST NACOGDOCHES, TX 75961 (936) 564-4611 |
| 1376698290 | MR. GREGORY SCOTT WALLIS CRNA Individual | Nurse Anesthetist, Certified Registered | 1204 N MOUND ST NACOGDOCHES, TX 75961 (936) 568-8444 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073183141, enumerated in the NPI registry as an "organization" on June 30, 2021
The provider is located at 1204 N Mound St Nacogdoches, Tx 75961 and the phone number is (936) 564-4611
This medical organization specializes in General Acute Care Hospital with taxonomy code 282N00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 45D2087307 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on June 30, 2021. 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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