UNIVERSITY HEALTH SERVICES
NPI 1104095470
Clinic/Center - Health Service in Austin, TX
NPI Status: Active since February 21, 2008
Contact Information
100 W DEAN KEETON
UNIVERSITY HEALTH SERVICES
AUSTIN, TX
ZIP 78705
Phone: (512) 475-8231
Fax: (512) 471-0680
- Organization
- Clinic/Center
- Health Service
- CLIA Number: 45D2072053
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-23-2026
About UNIVERSITY HEALTH SERVICES
This page provides the complete NPI Profile along with additional information for University Health Services, a provider established in Austin, Texas operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1104095470 assigned on February 2008. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's other name is University Health Services. The authorized official of this NPI record is Susan Champagnemiller (Administrator)
- NPI
- 1104095470
- Provider Legal Name
- UNIVERSITY OF TEXAS AT AUSTIN
- Other Organization Name
- UNIVERSITY HEALTH SERVICES
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 100 W DEAN KEETON UNIVERSITY HEALTH SERVICES AUSTIN, TX 78705
- Location Phone
- (512) 475-8231
- Location Fax
- (512) 471-0680
- Mailing Address
- PO BOX 7339 UNIVERSITY OF TEXAS AT AUSTIN AUSTIN, TX 78713
- Mailing Phone
- (512) 475-8231
- Mailing Fax
- (512) 471-0680
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-21-2008
- Last Update Date
- 02-21-2008
- 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 Health Service
- Taxonomy Code
- 261QH0100X
- Type
- Ambulatory Health Care Facilities
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
- 45D2072053
- Facility Type
- Physician Office
- Certificate Effective Date
- January 24, 2024
- Certificate Expiration Date
- January 23, 2026
- Laboratory Director
- MICHAEL T. BREEN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to University Health Services in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 | 1 | 0 | 4 | 0 | 9 | 5 | 4 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 0 | 9 | 10 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 0 + 9 + 1 + 0 + 4 + 1 + 4 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1104095470 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104095470, enumerated in the NPI registry as an "organization" on February 21, 2008
The provider is located at 100 W Dean Keeton University Health Services Austin, Tx 78705 and the phone number is (512) 475-8231
This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service
The provider's CLIA number is 45D2072053 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on February 21, 2008. 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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