BAYLOR SCOTT & WHITE CLINIC - TEMPLE
NPI 1093779704
Internal Medicine in Temple, TX

Q: What is Scott & White Clinic's NPI number?

The NPI number for Scott & White Clinic is 1093779704. It was assigned to this organization in the NPPES registry on April 12, 2006. The provider is doing business as Baylor Scott & White Clinic - Temple.

Q: What is Scott & White Clinic's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 12, 2006CLIA Certified · 2 labs

2401 S 31ST ST, TEMPLE, TX 76508(254) 724-2111 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 1, 2024, Apr 18, 2024, Aug 25, 2022 (3 updates tracked since 2022).

On this page

About Baylor Scott & White Clinic - Temple NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAYLOR SCOTT & WHITE CLINIC - TEMPLE (NPI 1093779704) is a healthcare organization registered as an internal medicine in Temple, Texas and active in the NPI registry since April 2006. The organization holds 2 active CLIA laboratory certificates and lists Alicia Cantu, System Director, Cbs, as its authorized official.

NPPES Registry Identity

NPI1093779704

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameSCOTT & WHITE CLINIC

Location Address2401 S 31ST STTemple, TX 76508-0001

Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-8800

Phone(254) 724-2111

Organization SubpartNo

Authorized OfficialAlicia CantuSystem Director, Cbs · (254) 215-9719

Enumeration DateApril 12, 2006

Last NPPES UpdateAugust 1, 20243 updates tracked since enumeration

NPPES CertifiedAugust 1, 2024

✔ NPI 1093779704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedDermatologyTaxonomy 207N00000X

Also ListedEmergency MedicineTaxonomy 207P00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOphthalmologyTaxonomy 207W00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedOtolaryngologyTaxonomy 207Y00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPlastic SurgeryTaxonomy 208200000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

Also ListedSurgeryTaxonomy 208600000X

Also ListedPodiatristTaxonomy 213E00000X

2401 S 31ST ST, Temple, TX 76508

Open in Google Maps ↗

Other Names 1

Doing Business AsBaylor Scott & White Clinic - Temple

Other Identifiers 7

OtherCH2231TX · Rr/medicare

Other1266694-02TX · Cshcn

Other00C307TX · Blue Shield

Other00C307TX · Medicare Group Number

Other1266694-04TX · Epsdt

Medicaid1266728-04TX

Other178332800TX · W/c Dept Of Labor

Group Practice 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2331683

Baylor Scott & White - Temple Occupational Medicine · Temple, TX

Active · expires Oct 6, 2027

CLIA Number45D2331683

Laboratory TypeMobile Laboratory

Certificate Effective DateOctober 7, 2025

Certificate Expiration DateOctober 6, 2027

Laboratory DirectorKhaled Altassan

Laboratory Phone(254) 724-0118

Laboratory LocationBaylor Scott & White - Temple Occupational Medicine2401 S 31st Street, Room Ag100, Temple, TX 76508

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 45D0488073

Baylor Scott & White Medical Center - Temple · Temple, TX

Active · expires Feb 8, 2027

CLIA Number45D0488073

Laboratory TypeHospital

Certificate Effective DateFebruary 9, 2025

Certificate Expiration DateFebruary 8, 2027

Laboratory DirectorDr. Michelle E. Rodriguez

Laboratory Phone(254) 724-4409

Laboratory LocationBaylor Scott & White Medical Center - Temple2401 S 31st St, Temple, TX 76508

CLIA data matches this NPI record on: Address

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIFFANY JONES BERRY MD

Family Medicine