PAIN TREATMENT CENTERS OF AMERICA, PLLC
NPI 1609334465
Durable Medical Equipment & Medical Supplies in Texarkana, TX

NPI Status: Active since March 11, 2019

Contact Information

5950 SUMMERHILL RD STE B
TEXARKANA, TX
ZIP 75503
Phone: (501) 712-2571
Fax: (501) 404-7789

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 04D2165979
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-08-2025

About PAIN TREATMENT CENTERS OF AMERICA, PLLC

This page provides the complete NPI Profile along with additional information for Pain Treatment Centers Of America, Pllc, a provider established in Texarkana, Texas operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1609334465 assigned on March 2019. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Kristen Nehk (Coo Of Rcm Services)

NPI
1609334465
Provider Name
PAIN TREATMENT CENTERS OF AMERICA, PLLC
Entity Type
Organization
Location Address
5950 SUMMERHILL RD STE B TEXARKANA, TX 75503
Location Phone
(501) 712-2571
Location Fax
(501) 404-7789
Mailing Address
108 N SHACKLEFORD RD LITTLE ROCK, AR 72211
Mailing Phone
(501) 712-2571
Mailing Fax
(501) 404-7789
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-11-2019
Last Update Date
01-11-2023
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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

KRISTEN NEHK

Authorized Official Title
COO OF RCM SERVICES
Authorized Official Phone
(951) 541-6889

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
04D2165979
Facility Type
Physician Office
Certificate Effective Date
May 09, 2023
Certificate Expiration Date
May 08, 2025
Laboratory Director
DR. MERAJ SIDDIQUI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pain Treatment Centers Of America, Pllc 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.
1609334465
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609638412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 6 + 3 + 8 + 4 + 1 + 2 + 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 1609334465 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 1609334465, enumerated in the NPI registry as an "organization" on March 11, 2019

The provider is located at 5950 Summerhill Rd Ste B Texarkana, Tx 75503 and the phone number is (501) 712-2571

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

The provider's CLIA number is 04D2165979 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 March 11, 2019. 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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