HENDRICK SURGERY CENTER LLC
NPI 1164964953
Clinic/Center - Ambulatory Surgical in Brownwood, TX
NPI Status: Active since November 09, 2016
Contact Information
2401 CROCKETT DR
BROWNWOOD, TX
ZIP 76801
Phone: (325) 670-5359
Fax: (325) 670-4508
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 45D2211664
- CLIA Cert. Type: Other - URGENT CARE - WALK IN
- CLIA Exp. Date: 01-28-2027
About HENDRICK SURGERY CENTER LLC
This page provides the complete NPI Profile along with additional information for Hendrick Surgery Center Llc, a provider established in Brownwood, Texas operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1164964953 assigned on November 2016. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Jeremy Walker (Chief Financial Officer)
- NPI
- 1164964953
- Provider Name
- HENDRICK SURGERY CENTER LLC
- Entity Type
- Organization
- Location Address
- 2401 CROCKETT DR BROWNWOOD, TX 76801
- Location Phone
- (325) 670-5359
- Location Fax
- (325) 670-4508
- Mailing Address
- PO BOX 3117 ABILENE, TX 79604
- Mailing Phone
- (325) 670-5359
- Mailing Fax
- (325) 670-4508
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-09-2016
- Last Update Date
- 11-09-2016
- 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 Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- 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
- 45D2211664
- Facility Type
- Other - URGENT CARE - WALK IN
- Certificate Effective Date
- January 29, 2025
- Certificate Expiration Date
- January 28, 2027
- Laboratory Director
- CHRISTOPHER A. DURAND
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Hendrick Surgery Center 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.
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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 | 6 | 4 | 9 | 6 | 4 | 9 | 5 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 18 | 6 | 8 | 9 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 1 + 8 + 6 + 8 + 9 + 1 + 0 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1164964953 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1750361853 | BRAD MICHAEL FIELDER CRNA Individual | Nurse Anesthetist, Certified Registered | 2401 CROCKETT DR BROWNWOOD, TX 76801 (325) 277-1748 |
| 1285789669 | CHAD EMERY COULTER CRNA Individual | Nurse Anesthetist, Certified Registered | 2401 CROCKETT DR BROWNWOOD, TX 76801 (325) 277-1748 |
| 1043750243 | BROWNWOOD ANESTHESIA, PLLC Organization | Nurse Anesthetist, Certified Registered | 2401 CROCKETT DR BROWNWOOD, TX 76801 (325) 277-1748 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164964953, enumerated in the NPI registry as an "organization" on November 09, 2016
The provider is located at 2401 Crockett Dr Brownwood, Tx 76801 and the phone number is (325) 670-5359
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider's CLIA number is 45D2211664 for a "other - urgent care - walk in" 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 November 09, 2016. 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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