COASTAL ER XI, LLC
NPI 1558132365
Clinic/Center - Emergency Care in San Antonio, TX
NPI Status: Active since January 10, 2024
Contact Information
12314 POTRANCO RD STE 102
SAN ANTONIO, TX
ZIP 78253
Phone: (210) 981-3001
- Organization
- Clinic/Center
- Emergency Care
- CLIA Number: 45D2292795
- CLIA Cert. Type: Other - FREESTANDING EMERGENCY ME
- CLIA Exp. Date: 09-30-2026
About COASTAL ER XI, LLC
This page provides the complete NPI Profile along with additional information for Coastal Er Xi, Llc, a provider established in San Antonio, Texas operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1558132365 assigned on January 2024. The practitioner's primary taxonomy code is 261QE0002X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Haley Lorin Riley (Credentialing Manager)
- NPI
- 1558132365
- Provider Name
- COASTAL ER XI, LLC
- Entity Type
- Organization
- Location Address
- 12314 POTRANCO RD STE 102 SAN ANTONIO, TX 78253
- Location Phone
- (210) 981-3001
- Mailing Address
- 4141 S STAPLES ST STE 101 CORPUS CHRISTI, TX 78411
- Mailing Phone
- (361) 851-6626
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-10-2024
- Last Update Date
- 01-10-2024
- 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 Emergency Care
- Taxonomy Code
- 261QE0002X
- 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
- 45D2292795
- Facility Type
- Other - FREESTANDING EMERGENCY ME
- Certificate Effective Date
- October 01, 2024
- Certificate Expiration Date
- September 30, 2026
- Laboratory Director
- DR. GREGORY YU
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Coastal Er Xi, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 | 5 | 5 | 8 | 1 | 3 | 2 | 3 | 6 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 10 | 8 | 2 | 3 | 4 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 0 + 8 + 2 + 3 + 4 + 3 + 1 + 2 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1558132365 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1780445874 | POTRANCO EMERGENCY PHYSICIANS, PLLC Organization | Clinic/Center (Emergency Care) | 12314 POTRANCO RD STE 102 SAN ANTONIO, TX 78253 (210) 981-3001 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558132365, enumerated in the NPI registry as an "organization" on January 10, 2024
The provider is located at 12314 Potranco Rd Ste 102 San Antonio, Tx 78253 and the phone number is (210) 981-3001
This medical organization specializes in Clinic/Center with taxonomy code 261QE0002X with a focus in Emergency Care
The provider's CLIA number is 45D2292795 for a "other - freestanding emergency me" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on January 10, 2024. 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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