STEPHEN F. AUSTIN STATE UNIV. HEALTH SERVICE
NPI 1265501076
Clinic/Center - Student Health in Nacogdoches, TX

NPI Status: Active since November 07, 2006

Contact Information

2106 RAGUET ST N
BOX 13058
NACOGDOCHES, TX
ZIP 75962
Phone: (936) 468-4008
Fax: (936) 468-1316

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  • Organization
  • Clinic/Center
  • Student Health
  • CLIA Number: 45D0670854
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 05-07-2027

About STEPHEN F. AUSTIN STATE UNIV. HEALTH SERVICE

This page provides the complete NPI Profile along with additional information for Stephen F. Austin State Univ. Health Service, a primary care provider established in Nacogdoches, Texas operating as a Clinic/center, focusing in student health . The healthcare provider is registered in the NPI registry with number 1265501076 assigned on November 2006. The practitioner's primary taxonomy code is 261QS1000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. John Miller M.d. (Director)

NPI
1265501076
Provider Name
STEPHEN F. AUSTIN STATE UNIV. HEALTH SERVICE
Entity Type
Organization
Location Address
2106 RAGUET ST N BOX 13058 NACOGDOCHES, TX 75962
Location Phone
(936) 468-4008
Location Fax
(936) 468-1316
Mailing Address
2106 RAGUET ST N BOX 13058 NACOGDOCHES, TX 75962
Mailing Phone
(936) 468-4008
Mailing Fax
(936) 468-1316
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-07-2006
Last Update Date
08-22-2020
Code Navigator

A primary care provider (PCP) like Stephen F. Austin State Univ. Health Service 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 .

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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

Clinic/Center Student Health

Taxonomy Code
261QS1000X
Type
Ambulatory Health Care Facilities

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. JOHN MILLER M.D.

Authorized Official Title
DIRECTOR
Authorized Official Phone
(936) 468-4008

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
45D0670854
Facility Type
School/Student Health Service
Certificate Effective Date
May 08, 2025
Certificate Expiration Date
May 07, 2027
Laboratory Director
BONNIE B. RYAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Stephen F. Austin State Univ. Health Service 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 STEPHEN F. AUSTIN STATE UNIV. HEALTH SERVICE

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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.
1265501076
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221251002014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 0 + 0 + 2 + 0 + 1 + 4 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1265501076 is valid because the calculated check digit 6 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 1265501076, enumerated in the NPI registry as an "organization" on November 07, 2006

The provider is located at 2106 Raguet St N Box 13058 Nacogdoches, Tx 75962 and the phone number is (936) 468-4008

This medical organization specializes in Clinic/Center with taxonomy code 261QS1000X with a focus in Student Health

The provider's CLIA number is 45D0670854 for a "school/student health service" 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 07, 2006. 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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