NEW VITALITY CLINIC
NPI 1285044057
Clinic/Center in Port Lavaca, TX

NPI Status: Active since May 02, 2014

Contact Information

1207 N VIRGINIA ST
PORT LAVACA, TX
ZIP 77979
Phone: (361) 746-1588
Fax: (361) 400-5310

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  • Organization
  • Clinic/Center

About NEW VITALITY CLINIC

This page provides the complete NPI Profile along with additional information for New Vitality Clinic, a provider established in Port Lavaca, Texas operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1285044057 assigned on May 2014. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Gustavo Adolfo Gross Md (Owner)

NPI
1285044057
Provider Name
NEW VITALITY CLINIC
Entity Type
Organization
Location Address
1207 N VIRGINIA ST PORT LAVACA, TX 77979
Location Phone
(361) 746-1588
Location Fax
(361) 400-5310
Mailing Address
1207 N VIRGINIA ST PORT LAVACA, TX 77979
Mailing Phone
(361) 746-1588
Mailing Fax
(361) 400-5310
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-02-2014
Last Update Date
05-02-2014
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License State
TX
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. GUSTAVO ADOLFO GROSS MD

Authorized Official Title
OWNER
Authorized Official Phone
(830) 491-2151

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00886OTHER (01)TXSTATE LIC NUMBER

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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.
1285044057
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165048010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 0 + 4 + 8 + 0 + 1 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1285044057 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154325611MR. GARY S COOK P.A.
Individual
Physician Assistant (Medical)1207 N VIRGINIA ST
PORT LAVACA, TX 77979
(361) 746-1588

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285044057, enumerated in the NPI registry as an "organization" on May 02, 2014

The provider is located at 1207 N Virginia St Port Lavaca, Tx 77979 and the phone number is (361) 746-1588

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 02, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.