CHRISTUS SOUTHEAST TEXAS - FAMILY PRACTICE CENTER SAM RAYBURN
NPI 1194797621
Clinic/Center - Rural Health in Brookeland, TX

NPI Status: Active since February 07, 2006

Contact Information

2427 W RECREATIONAL ROAD 255
BROOKELAND, TX
ZIP 75931
Phone: (409) 698-9600
Fax: (409) 698-2800

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 45D0484053
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 01-09-2026

About CHRISTUS SOUTHEAST TEXAS - FAMILY PRACTICE CENTER SAM RAYBURN

This page provides the complete NPI Profile along with additional information for Christus Southeast Texas - Family Practice Center Sam Rayburn, a primary care provider established in Brookeland, Texas operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1194797621 assigned on February 2006. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Christus Southeast Texas - Family Practice Center Sam Rayburn. The authorized official of this NPI record is Ms. Deborah R Wiegand Rn (Administrator)

NPI
1194797621
Provider Legal Name
CHRISTUS HEALTH SOUTHEAST TEXAS
Other Organization Name
CHRISTUS SOUTHEAST TEXAS - FAMILY PRACTICE CENTER SAM RAYBURN
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2427 W RECREATIONAL ROAD 255 BROOKELAND, TX 75931
Location Phone
(409) 698-9600
Location Fax
(409) 698-2800
Mailing Address
PO BOX 5316 SAM RAYBURN, TX 75951
Mailing Phone
(409) 384-1872
Mailing Fax
(409) 698-2800
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-07-2006
Last Update Date
07-23-2015
Code Navigator

A primary care provider (PCP) like Christus Southeast Texas - Family Practice Center Sam Rayburn 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
License State
TX

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

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

MS. DEBORAH R WIEGAND RN

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(409) 384-1872

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
137305210MEDICAID (05)TX 
458514MEDICARE OSCAR/CERTIFICATION (06) 

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
45D0484053
Facility Type
Hospital
Certificate Effective Date
January 10, 2024
Certificate Expiration Date
January 09, 2026
Laboratory Director
DR. JAMES T. MOLINA
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Christus Southeast Texas - Family Practice Center Sam Rayburn 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 1194797621, 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
1
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 9 → 18 → 9 7 → 14 → 5 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 8 + 4 + 1 + 4 + 9 + 1 + 4 + 6 + 4 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1194797621.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194797621, enumerated as an "organization" on February 07, 2006.

The provider is located at 2427 W RECREATIONAL ROAD 255 BROOKELAND, TX 75931 and the phone number is (409) 698-9600.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.