EXPRESS HEALTH SYSTEMS
NPI 1174155477
Clinic/Center - Multi-Specialty in Tyler, TX
NPI Status: Active since February 05, 2020
Contact Information
120 E SOUTH TOWN DR STE 100
TYLER, TX
ZIP 75703
Phone: (903) 925-6705
Fax: (903) 209-2888
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
- CLIA Number: 45D2145006
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-26-2026
About EXPRESS HEALTH SYSTEMS
This page provides the complete NPI Profile along with additional information for Express Health Systems, a provider established in Tyler, Texas operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1174155477 assigned on February 2020. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Express Health Systems operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. 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 Express Health Systems. The authorized official of this NPI record is Lauren Holley (Cao)
- NPI
- 1174155477
- Provider Legal Name
- CHOICE SUPPORTIVE CARE TEAM INC.
- Other Organization Name
- EXPRESS HEALTH SYSTEMS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 120 E SOUTH TOWN DR STE 100 TYLER, TX 75703
- Location Phone
- (903) 925-6705
- Location Fax
- (903) 209-2888
- Mailing Address
- 120 E SOUTH TOWN DR STE 100 TYLER, TX 75703
- Mailing Phone
- (903) 592-5670
- Mailing Fax
- (903) 209-2888
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-05-2020
- Last Update Date
- 11-01-2022
- 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
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- 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 | 163W00000X | Nursing Service Providers | Registered Nurse | |
| 2 | 164W00000X | Nursing Service Providers | Licensed Practical Nurse | |
| 3 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 4 | 207QA0505X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 5 | 207RC0200X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 207RG0300X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 7 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 8 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | |
| 9 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
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.
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
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00654697 | OTHER (01) | TX | RAIL ROAD |
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
- 45D2145006
- Facility Type
- Physician Office
- Certificate Effective Date
- February 27, 2024
- Certificate Expiration Date
- February 26, 2026
- Laboratory Director
- TRUNG N. NGUYEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Express Health Systems 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.
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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 1174155477, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
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 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174155477, enumerated as an "organization" on February 05, 2020.
The provider is located at 120 E SOUTH TOWN DR STE 100 TYLER, TX 75703 and the phone number is (903) 925-6705.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare and. Please consult your insurance carrier or call the provider to verify.
