NORTHEAST METHODIST HOSPITAL
NPI 1023248754
Nursing Facility/Intermediate Care Facility in Live Oak, TX
NPI Status: Active since July 15, 2009
Contact Information
12412 JUDSON RD
LIVE OAK, TX
ZIP 78233
Phone: (210) 757-7000
- Organization
- Nursing Facility/Intermediate Care Facil...
- CLIA Number: 45D0660467
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-27-2027
About NORTHEAST METHODIST HOSPITAL
This page provides the complete NPI Profile along with additional information for Northeast Methodist Hospital, a provider established in Live Oak, Texas operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1023248754 assigned on July 2009. The practitioner's primary taxonomy code is 313M00000X with license number 724055 (TX). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Northeast Methodist Hospital. The authorized official of this NPI record is Mr. Mark L. Bernard Fache (Ceo)
- NPI
- 1023248754
- Provider Legal Name
- METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO,LTD,LLP
- Other Organization Name
- NORTHEAST METHODIST HOSPITAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 12412 JUDSON RD LIVE OAK, TX 78233
- Location Phone
- (210) 757-7000
- Mailing Address
- 10230 MISSION CRK CONVERSE, TX 78109
- Mailing Phone
- (210) 592-8254
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-15-2009
- Last Update Date
- 07-15-2009
- 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
Nursing Facility/Intermediate Care Facility
- Taxonomy Code
- 313M00000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 724055
- License State
- TX
- Taxonomy Description
- An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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
- 45D0660467
- Facility Type
- Hospital
- Certificate Effective Date
- February 28, 2025
- Certificate Expiration Date
- February 27, 2027
- Laboratory Director
- DR. JAMES L. HUMPHREYS
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Northeast Methodist Hospital 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 NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1023248754, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LIVE OAK, TX 78233
LIVE OAK, TX 78233
LIVE OAK, TX 78233
LIVE OAK, TX 78233
LIVE OAK, TX 78233
LIVE OAK, TX 78233
LIVE OAK, TX 78233
LIVE OAK, TX 78233
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023248754, enumerated as an "organization" on July 15, 2009.
The provider is located at 12412 JUDSON RD LIVE OAK, TX 78233 and the phone number is (210) 757-7000.
Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.
