EAST TEXAS MEDICAL CENTER-CLARKSVILLE
NPI 1730114836
General Acute Care Hospital - Rural in Clarksville, TX

NPI Status: Active since July 11, 2006

Contact Information

3000 W MAIN ST
CLARKSVILLE, TX
ZIP 75426
Phone: (903) 427-6400
Fax: (903) 427-2719

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  • Organization
  • General Acute Care Hospital
  • Rural

About EAST TEXAS MEDICAL CENTER-CLARKSVILLE

This page provides the complete NPI Profile along with additional information for East Texas Medical Center-clarksville, a provider established in Clarksville, Texas operating as a General Acute Care Hospital, focusing in rural . The healthcare provider is registered in the NPI registry with number 1730114836 assigned on July 2006. The practitioner's primary taxonomy code is 282NR1301X with license number 000292 (TX). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Mr. William Perry Henderson (Senior Administrator)

NPI
1730114836
Provider Name
EAST TEXAS MEDICAL CENTER-CLARKSVILLE
Entity Type
Organization
Location Address
3000 W MAIN ST CLARKSVILLE, TX 75426
Location Phone
(903) 427-6400
Location Fax
(903) 427-2719
Mailing Address
PO BOX 1304 PITTSBURG, TX 75686
Mailing Phone
(903) 427-6400
Mailing Fax
(903) 427-2719
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-11-2006
Last Update Date
03-28-2013
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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

General Acute Care Hospital Rural

Taxonomy Code
282NR1301X
Type
Hospitals
License No.
000292
License State
TX

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

MR. WILLIAM PERRY HENDERSON

Authorized Official Title
SENIOR ADMINISTRATOR
Authorized Official Phone
(903) 946-5500

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
130862901MEDICAID (05)TX 
0082AKMEDICARE ID-TYPE UNSPECIFIED (04)TXMEDICARE PROVIDER 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.
1730114836
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
276021886
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 2 + 1 + 8 + 8 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1730114836 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104179910EAST TEXAS MEDICAL CENTER CLARKSVILLE
Organization
Clinic/Center (Rural Health)3000 W MAIN ST
CLARKSVILLE, TX 75426
(903) 427-6400
1063447159EAST TEXAS MEDICAL CENTER CLARKSVILLE
Organization
Clinic/Center (Rural Health)3000 W MAIN ST
CLARKSVILLE, TX 75426
(903) 632-5632
1679506174EAST TEXAS MEDICAL CENTER CLARKSVILLE
Organization
General Acute Care Hospital (Rural)3000 W MAIN ST
CLARKSVILLE, TX 75426
(903) 427-6400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730114836, enumerated in the NPI registry as an "organization" on July 11, 2006

The provider is located at 3000 W Main St Clarksville, Tx 75426 and the phone number is (903) 427-6400

This medical organization specializes in General Acute Care Hospital with taxonomy code 282NR1301X with a focus in Rural

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 July 11, 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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