SIGNATURE CARE EMERGENCY CENTER - SOUTH AUSTIN (SOUTH AUSTIN EMERGENCY CENTER, LLC) NPI 1083236376

Emergency Medicine in Austin, TX

NPI 1083236376 Organization Emergency Medicine CLIA Number 45D2095415 CLIA Certificate of Accreditation

About SIGNATURE CARE EMERGENCY CENTER - SOUTH AUSTIN (SOUTH AUSTIN EMERGENCY CENTER, LLC)

Signature Care Emergency Center - South Austin (south Austin Emergency Center, Llc) is a provider established in Austin, Texas specializing in emergency medicine. The NPI number of Signature Care Emergency Center - South Austin (south Austin Emergency Center, Llc) is 1083236376 and was assigned on May 2020. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Signature Care Emergency Center - South Austin (south Austin Emergency Center, Llc) operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Signature Care Emergency Center - South Austin. The authorized official of this NPI record is Darleen Callahan (Director Of Operations)

The CLIA number of Signature Care Emergency Center - South Austin is 45D2095415 registered as a "other" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued to Signature Care Emergency Center - South Austin 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.

NPI

1083236376

Provider NameSIGNATURE CARE EMERGENCY CENTER - SOUTH AUSTIN (SOUTH AUSTIN EMERGENCY CENTER, LLC)
Provider Location Address5701 W SLAUGHTER LN AUSTIN, TX 78749
Provider Mailing AddressPO BOX 47073 HOUSTON, TX 77210
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameSIGNATURE CARE EMERGENCY CENTER - SOUTH AUSTIN
Other Name TypeDoing Business As (3)
Enumeration Date05-11-2020
Last Update Date04-28-2021


Primary Taxonomy

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

SIGNATURE CARE EMERGENCY CENTER - SOUTH AUSTIN
5701 W SLAUGHTER LN
AUSTIN, TX
ZIP 78749
Phone: (832) 699-3777

Get Directions


Mailing Address

SIGNATURE CARE EMERGENCY CENTER - SOUTH AUSTIN
PO BOX 47073
HOUSTON, TX
ZIP 77210
Phone: (832) 699-3777



Authorized Official

Authorized Official Name DARLEEN CALLAHAN
Authorized Official TitleDIRECTOR OF OPERATIONS
Authorized Official Phone(832) 699-3777

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 the NPI number 1083236376 is:

CLIA Number45D2095415
Facility TypeOTHER
Certificate TypeCertificate of Accreditation

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538507181THE AUSTIN DENTIST, PLLC
Organization
Dentist5701 W SLAUGHTER LN SUITE B120
AUSTIN, TX 78749
(512) 467-4722
1144289034DR. ERICA C. MOELLER MD
Individual
Family Medicine5701 W SLAUGHTER LN
AUSTIN, TX 78749
(512) 901-4031
1003013301DR. VALERIE MARIANA SANTIAGO-DOYLE DDS
Individual
Dentist5701 W SLAUGHTER LN SUITE B120
AUSTIN, TX 78749
(512) 467-4722
1518345057AUSTIN ONCALL EM PHYSICIANS PLLC
Organization
Emergency Medicine5701 W SLAUGHTER LN BLDG G
AUSTIN, TX 78749
(512) 651-5787
1801272372 ERIN JOHNSON CPNP
Individual
Nurse Practitioner (Pediatrics)5701 W SLAUGHTER LN BLDG C
AUSTIN, TX 78749
(512) 334-2504
1821268798DR. GEORGE J MUNDANTHANAM M.D.
Individual
Orthopaedic Surgery5701 W SLAUGHTER LN A130-442
AUSTIN, TX 78749
(512) 301-4263
1669484226DR. NATASHA L DEWALD AUD
Individual
Audiologist-Hearing Aid Fitter5701 W SLAUGHTER LN STE A130-227
AUSTIN, TX 78749
(512) 956-4327
1285181107HEARS TO YOU, PLLC
Organization
Audiologist-Hearing Aid Fitter5701 W SLAUGHTER LN STE A130-227
AUSTIN, TX 78749
(512) 956-4327
1770598831MISS NADEEN W GRAY MD
Individual
Family Medicine5701 W SLAUGHTER LN BLDG. C
AUSTIN, TX 78749
(512) 901-4031

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.