NACOGDOCHES MEMORIAL HOSPITAL
NPI 1073183141
General Acute Care Hospital in Nacogdoches, TX
NPI Status: Active since June 30, 2021
Contact Information
1204 N MOUND ST
NACOGDOCHES, TX
ZIP 75961
Phone: (936) 564-4611
- Organization
- General Acute Care Hospital
- Accepts Insurance
- CLIA Number: 45D0674852
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-31-2027
About NACOGDOCHES MEMORIAL HOSPITAL
This page provides the complete NPI Profile along with additional information for Nacogdoches Memorial Hospital, a provider established in Nacogdoches, Texas operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1073183141 assigned on June 2021. The practitioner's primary taxonomy code is 282N00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Nacogdoches Memorial Hospital. The authorized official of this NPI record is Brandy Boyd Cpa (Chief Financial Officer)
- NPI
- 1073183141
- Provider Legal Name
- LION STAR NACOGDOCHES HOSPITAL, LLC
- Other Organization Name
- NACOGDOCHES MEMORIAL HOSPITAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1204 N MOUND ST NACOGDOCHES, TX 75961
- Location Phone
- (936) 564-4611
- Mailing Address
- 1204 N MOUND ST NACOGDOCHES, TX 75961
- Mailing Phone
- (936) 564-4611
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-30-2021
- Last Update Date
- 10-26-2022
- 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
General Acute Care Hospital
- Taxonomy Code
- 282N00000X
- Type
- Hospitals
- Taxonomy Description
- An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
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 | 261QA1903X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 45D0674852
- Facility Type
- Physician Office
- Certificate Effective Date
- January 01, 2026
- Certificate Expiration Date
- December 31, 2027
- Laboratory Director
- JAMES OTTO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Nacogdoches Memorial Hospital to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for NACOGDOCHES MEMORIAL HOSPITAL
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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 1073183141, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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 59 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.
NACOGDOCHES, TX 75961
NACOGDOCHES, TX 75961
NACOGDOCHES, TX 75961
NACOGDOCHES, TX 75961
NACOGDOCHES, TX 75961
NACOGDOCHES, TX 75961
NACOGDOCHES, TX 75961
NACOGDOCHES, TX 75961
NACOGDOCHES, TX 75961
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073183141, enumerated as an "organization" on June 30, 2021.
The provider is located at 1204 N MOUND ST NACOGDOCHES, TX 75961 and the phone number is (936) 564-4611.
General Acute Care Hospital with taxonomy code 282N00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.
