ETMC FIRST PHYSICIANS CLINIC CLARKSVILLE
NPI 1063447159
Clinic/Center - Rural Health in Clarksville, TX

NPI Status: Active since July 11, 2006

Contact Information

3000 W MAIN ST
CLARKSVILLE, TX
ZIP 75426
Phone: (903) 632-5632
Fax: (903) 427-2719

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance

About ETMC FIRST PHYSICIANS CLINIC CLARKSVILLE

This page provides the complete NPI Profile along with additional information for Etmc First Physicians Clinic Clarksville, a primary care provider established in Clarksville, Texas operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1063447159 assigned on July 2006. The practitioner's primary taxonomy code is 261QR1300X with license number 000292 (TX). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Etmc First Physicians Clinic Clarksville. The authorized official of this NPI record is Mrs. Tambri L Rolston (Regional Director Of Business Ser)

NPI
1063447159
Provider Legal Name
EAST TEXAS MEDICAL CENTER CLARKSVILLE
Other Organization Name
ETMC FIRST PHYSICIANS CLINIC CLARKSVILLE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3000 W MAIN ST CLARKSVILLE, TX 75426
Location Phone
(903) 632-5632
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
02-26-2013
Code Navigator

A primary care provider (PCP) like Etmc First Physicians Clinic Clarksville 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 Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities
License No.
000292
License State
TX

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1282NR1301XHospitals

General Acute Care Hospital
Rural

000292 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Essential ($0 Virtual Urgent Care) - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Standard+ (Dental + Vision) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx) - HMO
  • UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Gold Standard - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision) - HMO
  • UHC Silver Standard - HMO
  • UHC Silver Value ($0 Virtual Urgent Care) - HMO
  • UHC Silver Value+ ($0 Virtual Urgent Care, Dental + Vision) - HMO

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

MRS. TAMBRI L ROLSTON

Authorized Official Title
REGIONAL DIRECTOR OF BUSINESS SER
Authorized Official Phone
(903) 946-5519

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
017887301MEDICAID (05)TX 
45-8572MEDICARE ID-TYPE UNSPECIFIED (04)TXMEDICARE PROVIDER NUMBER
063513801MEDICAID (05)TX 

Reviews for ETMC FIRST PHYSICIANS CLINIC CLARKSVILLE

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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 1063447159, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 4 → 8 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 8 + 4 + 1 + 4 + 1 + 1 + 0 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1063447159.

Other Providers at the Same Location


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

Clinic/Center (Rural Health)
3000 W MAIN ST
CLARKSVILLE, TX 75426
General Acute Care Hospital (Rural)
3000 W MAIN ST
CLARKSVILLE, TX 75426
General Acute Care Hospital (Rural)
3000 W MAIN ST
CLARKSVILLE, TX 75426

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063447159, enumerated 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) 632-5632.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.