SIGNATURE CARE EMERGENCY CENTER - COLLEGE STATION
NPI 1073058939
Clinic/Center - Emergency Care in College Station, TX
NPI Status: Active since January 03, 2017
Contact Information
1512 TEXAS AVE S
SUITE 500
COLLEGE STATION, TX
ZIP 77840
Phone: (979) 213-5520
Fax: (281) 752-7961
- Organization
- Clinic/Center
- Emergency Care
- CLIA Number: 45D2123338
- CLIA Cert. Type: Other - FREESTANDING ER
- CLIA Exp. Date: 07-27-2027
About SIGNATURE CARE EMERGENCY CENTER - COLLEGE STATION
This page provides the complete NPI Profile along with additional information for Signature Care Emergency Center - College Station, a provider established in College Station, Texas operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1073058939 assigned on January 2017. The practitioner's primary taxonomy code is 261QE0002X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Signature Care Emergency Center - College Station. The authorized official of this NPI record is Darleen Callahan (Director Of Operations)
- NPI
- 1073058939
- Provider Legal Name
- COLLEGE STATION ER, LLC
- Other Organization Name
- SIGNATURE CARE EMERGENCY CENTER - COLLEGE STATION
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1512 TEXAS AVE S SUITE 500 COLLEGE STATION, TX 77840
- Location Phone
- (979) 213-5520
- Location Fax
- (281) 752-7961
- Mailing Address
- PO BOX 733363 DALLAS, TX 75373
- Mailing Phone
- (979) 213-5520
- Mailing Fax
- (281) 752-7961
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-03-2017
- Last Update Date
- 01-14-2025
- 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
Clinic/Center Emergency Care
- Taxonomy Code
- 261QE0002X
- Type
- Ambulatory Health Care Facilities
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) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | 160304 (TX) |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 45D2123338
- Facility Type
- Other - FREESTANDING ER
- Certificate Effective Date
- July 28, 2025
- Certificate Expiration Date
- July 27, 2027
- Laboratory Director
- DAVID VAKEY
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Signature Care Emergency Center - College Station 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 1073058939, 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 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.
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 61 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073058939, enumerated as an "organization" on January 03, 2017.
The provider is located at 1512 TEXAS AVE S SUITE 500 COLLEGE STATION, TX 77840 and the phone number is (979) 213-5520.
Clinic/Center with taxonomy code 261QE0002X and a focus in Emergency Care.
