GEORGETOWN COMMUNITY CLINIC
NPI 1750331963
Clinic/Center - Federally Qualified Health Center (FQHC) in Georgetown, TX

NPI Status: Active since May 10, 2006

Contact Information

701 E UNIVERSITY AVE
GEORGETOWN, TX
ZIP 78626
Phone: (512) 863-8208
Fax: (512) 864-7238

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About GEORGETOWN COMMUNITY CLINIC

This page provides the complete NPI Profile along with additional information for Georgetown Community Clinic, a primary care provider established in Georgetown, Texas operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1750331963 assigned on May 2006. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Georgetown Community Clinic. The authorized official of this NPI record is Mr. Peter C Perialas Jr. (Ceo)

NPI
1750331963
Provider Legal Name
LONE STAR CIRCLE OF CARE
Other Organization Name
GEORGETOWN COMMUNITY CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
701 E UNIVERSITY AVE GEORGETOWN, TX 78626
Location Phone
(512) 863-8208
Location Fax
(512) 864-7238
Mailing Address
205 E UNIVERSITY AVE SUITE 200 GEORGETOWN, TX 78626
Mailing Phone
(512) 868-1124
Mailing Fax
(512) 864-7238
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2006
Last Update Date
03-03-2011
Code Navigator

A primary care provider (PCP) like Georgetown Community Clinic 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 .

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 Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

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. PETER C PERIALAS JR.

Authorized Official Title
CEO
Authorized Official Phone
(512) 868-1124

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
1560575-05MEDICAID (05)TX 
451979MEDICARE ID-TYPE UNSPECIFIED (04)TXFQHC SITE PROVIDER NUMBER

Reviews for GEORGETOWN COMMUNITY CLINIC

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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.
1750331963
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100632912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 3 + 2 + 9 + 1 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1750331963 is valid because the calculated check digit 3 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
1164544128MR. PEDRO BUSTAMANTE LMSW
Individual
Social Worker701 E UNIVERSITY AVE
GEORGETOWN, TX 78626
(512) 863-9208

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750331963, enumerated in the NPI registry as an "organization" on May 10, 2006

The provider is located at 701 E University Ave Georgetown, Tx 78626 and the phone number is (512) 863-8208

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

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 10, 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].
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.