CEDAR CREEK CLINIC, LLC
NPI 1134539000
Clinic/Center - Primary Care in Gun Barrel City, TX

NPI Status: Active since May 01, 2014

Contact Information

2418 W MAIN ST
GUN BARREL CITY, TX
ZIP 75156
Phone: (903) 713-2000
Fax: (903) 713-2004

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 45D2161302
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-30-2027

About CEDAR CREEK CLINIC, LLC

This page provides the complete NPI Profile along with additional information for Cedar Creek Clinic, Llc, a primary care provider established in Gun Barrel City, Texas operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1134539000 assigned on May 2014. The practitioner's primary taxonomy code is 261QP2300X with license number 636969 (TX). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Chelsea Rae Springer (Office Manager)

NPI
1134539000
Provider Name
CEDAR CREEK CLINIC, LLC
Entity Type
Organization
Location Address
2418 W MAIN ST GUN BARREL CITY, TX 75156
Location Phone
(903) 713-2000
Location Fax
(903) 713-2004
Mailing Address
2418 W MAIN ST GUN BARREL CITY, TX 75156
Mailing Phone
(903) 713-2000
Mailing Fax
(903) 713-2004
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-01-2014
Last Update Date
02-28-2019
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A primary care provider (PCP) like Cedar Creek Clinic, Llc 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 Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
636969
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

CHELSEA RAE SPRINGER

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(903) 713-2000

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
45D2161302
Facility Type
Physician Office
Certificate Effective Date
January 31, 2025
Certificate Expiration Date
January 30, 2027
Laboratory Director
BENJAMIN CALDWELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cedar Creek Clinic, Llc 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 CEDAR CREEK CLINIC, LLC

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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.
1134539000
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21641031800
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 0 + 3 + 1 + 8 + 0 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1134539000 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 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194809657 BENJAMIN CLAY CALDWELL C-FNP
Individual
Clinical Nurse Specialist (Family Health)2418 W MAIN ST
GUN BARREL CITY, TX 75156
(903) 173-2000
1659743482 NATALIE CARTER
Individual
Nurse Practitioner (Family)2418 W MAIN ST
GUN BARREL CITY, TX 75156
(903) 713-2000
1992363428 KRYSTAL LYNN MORGAN
Individual
Family Medicine2418 W MAIN ST
GUN BARREL CITY, TX 75156
(903) 713-2000
1225407000MR. LANCE ERIK POPHAM RN, MSN, NP-C, FNP
Individual
Nurse Practitioner (Family)2418 W MAIN ST
GUN BARREL CITY, TX 75156
(903) 713-2000
1477282721MR. ROBERT DALE ORR RN
Individual
Nurse Practitioner2418 W MAIN ST
GUN BARREL CITY, TX 75156
(903) 713-2000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134539000, enumerated in the NPI registry as an "organization" on May 01, 2014

The provider is located at 2418 W Main St Gun Barrel City, Tx 75156 and the phone number is (903) 713-2000

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

The provider's CLIA number is 45D2161302 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 May 01, 2014. 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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