CHRISTUS SOUTHEAST TEXAS FAMILY PRACTICE AND WOMEN'S SERVICES CENTER
NPI 1124482013
Clinic/Center - Rural Health in Jasper, TX

NPI Status: Active since April 07, 2016

Contact Information

494 SPRINGHILL ST
SUITE 200
JASPER, TX
ZIP 75951
Phone: (409) 381-5750
Fax: (409) 384-2018

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 45D0679085
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 06-24-2027

About CHRISTUS SOUTHEAST TEXAS FAMILY PRACTICE AND WOMEN'S SERVICES CENTER

This page provides the complete NPI Profile along with additional information for Christus Southeast Texas Family Practice And Women's Services Center, a primary care provider established in Jasper, Texas operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1124482013 assigned on April 2016. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Christus Southeast Texas Family Practice And Women's Services Center. The authorized official of this NPI record is Paul Trevino (Ceo)

NPI
1124482013
Provider Legal Name
CHRISTUS HEALTH SOUTHEAST TEXAS
Other Organization Name
CHRISTUS SOUTHEAST TEXAS FAMILY PRACTICE AND WOMEN'S SERVICES CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
494 SPRINGHILL ST SUITE 200 JASPER, TX 75951
Location Phone
(409) 381-5750
Location Fax
(409) 384-2018
Mailing Address
PO BOX 848060 DALLAS, TX 75284
Mailing Phone
(800) 756-7999
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-07-2016
Last Update Date
04-07-2016
Code Navigator

A primary care provider (PCP) like Christus Southeast Texas Family Practice And Women's Services Center 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

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

PAUL TREVINO

Authorized Official Title
CEO
Authorized Official Phone
(409) 899-7102

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
45D0679085
Facility Type
Rural Health Clinic
Certificate Effective Date
June 25, 2025
Certificate Expiration Date
June 24, 2027
Laboratory Director
JAMES MOLINA
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Christus Southeast Texas Family Practice And Women's Services Center 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 1124482013, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
3
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 2 → 4 4 → 8 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 8 + 8 + 4 + 0 + 2 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1124482013.

Other Providers at the Same Location


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

Pharmacist
494 SPRINGHILL ST
JASPER, TX 75951
Pharmacy (Community/Retail Pharmacy)
494 SPRINGHILL ST
JASPER, TX 75951
Clinic/Center (Urgent Care)
494 SPRINGHILL ST, SUITE 100
JASPER, TX 75951

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124482013, enumerated as an "organization" on April 07, 2016.

The provider is located at 494 SPRINGHILL ST SUITE 200 JASPER, TX 75951 and the phone number is (409) 381-5750.

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