HEALTH WELL TX LLC
NPI 1194407825
Family Medicine - Addiction Medicine in Gainesville, TX

NPI Status: Active since August 02, 2023

Contact Information

201 N I 35 # 160
GAINESVILLE, TX
ZIP 76240
Phone: (972) 226-8900
Fax: (972) 218-0554

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  • Organization
  • Family Medicine
  • Addiction Medicine
  • CLIA Number: 45D2274293
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-29-2024

About HEALTH WELL TX LLC

This page provides the complete NPI Profile along with additional information for Health Well Tx Llc, a provider established in Gainesville, Texas operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1194407825 assigned on August 2023. The practitioner's primary taxonomy code is 207QA0401X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Mohammed A Mohiuddin Md (Ceo)

NPI
1194407825
Provider Name
HEALTH WELL TX LLC
Entity Type
Organization
Location Address
201 N I 35 # 160 GAINESVILLE, TX 76240
Location Phone
(972) 226-8900
Location Fax
(972) 218-0554
Mailing Address
1309 BRADSHAW DR PLANO, TX 75074
Mailing Phone
(972) 226-8900
Mailing Fax
(972) 218-0554
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-02-2023
Last Update Date
11-13-2023
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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

Family Medicine Addiction Medicine

Taxonomy Code
207QA0401X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A family medicine physician who specializes in the diagnosis and treatment of addictions.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

DR. MOHAMMED A MOHIUDDIN MD

Authorized Official Title
CEO
Authorized Official Phone
(972) 226-8900

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
45D2274293
Facility Type
Physician Office
Certificate Effective Date
December 30, 2022
Certificate Expiration Date
December 29, 2024
Laboratory Director
MOHAMMED A. MOHIUDDIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Health Well Tx 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.
1194407825
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21184801484
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 8 + 0 + 1 + 4 + 8 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1194407825 is valid because the calculated check digit 5 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 1194407825, enumerated in the NPI registry as an "organization" on August 02, 2023

The provider is located at 201 N I 35 # 160 Gainesville, Tx 76240 and the phone number is (972) 226-8900

This medical organization specializes in Family Medicine with taxonomy code 207QA0401X with a focus in Addiction Medicine

The provider's CLIA number is 45D2274293 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 August 02, 2023. 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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