QUITMAN HOSPITAL LLC
NPI 1205336609
Internal Medicine in Quitman, TX

NPI Status: Active since February 13, 2018

Contact Information

117 N WINNSBORO ST
QUITMAN, TX
ZIP 75783
Phone: (903) 763-6220
Fax: (903) 763-6221

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  • Organization
  • Internal Medicine
  • CLIA Number: 45D1017212
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 02-29-2028

About QUITMAN HOSPITAL LLC

This page provides the complete NPI Profile along with additional information for Quitman Hospital Llc, an internist established in Quitman, Texas operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1205336609 assigned on February 2018. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Quitman Hospital Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Stephen C. Petrovich (Evp)

NPI
1205336609
Provider Name
QUITMAN HOSPITAL LLC
Entity Type
Organization
Location Address
117 N WINNSBORO ST QUITMAN, TX 75783
Location Phone
(903) 763-6220
Location Fax
(903) 763-6221
Mailing Address
1 BURTON HILLS BLVD STE 250 NASHVILLE, TN 37215
Mailing Phone
(615) 296-3000
Mailing Fax
(903) 763-6221
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2018
Last Update Date
02-13-2018
Code Navigator

An internist like Quitman Hospital Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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.

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

STEPHEN C. PETROVICH

Authorized Official Title
EVP
Authorized Official Phone
(615) 296-3000

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
45D1017212
Facility Type
Rural Health Clinic
Certificate Effective Date
March 01, 2026
Certificate Expiration Date
February 29, 2028
Laboratory Director
CHRISTIAN FERRER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Quitman Hospital Llc 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 1205336609, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
9
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 0 → 0 3 → 6 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 0 + 5 + 6 + 3 + 1 + 2 + 6 + 0 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1205336609.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
117 N WINNSBORO ST
QUITMAN, TX 75783
Emergency Medicine
117 N WINNSBORO ST
QUITMAN, TX 75783
Family Medicine
117 N WINNSBORO ST
QUITMAN, TX 75783
Clinic/Center (Primary Care)
117 N WINNSBORO ST
QUITMAN, TX 75783
Family Medicine
117 N WINNSBORO ST
QUITMAN, TX 75783
General Acute Care Hospital (Critical Access)
117 N WINNSBORO ST
QUITMAN, TX 75783
Clinic/Center (Rural Health)
117 N WINNSBORO ST
QUITMAN, TX 75783
Clinic/Center (Rural Health)
117 N WINNSBORO ST
QUITMAN, TX 75783
Nurse Anesthetist, Certified Registered
117 N WINNSBORO ST
QUITMAN, TX 75783
Nurse Practitioner (Acute Care)
117 N WINNSBORO ST
QUITMAN, TX 75783
Occupational Therapy Assistant
117 N WINNSBORO ST
QUITMAN, TX 75783
Clinic/Center (Rural Health)
117 N WINNSBORO ST
QUITMAN, TX 75783
Family Medicine
117 N WINNSBORO ST
QUITMAN, TX 75783
General Acute Care Hospital (Critical Access)
117 N WINNSBORO ST
QUITMAN, TX 75783
Nurse Practitioner
117 N WINNSBORO ST
QUITMAN, TX 75783
Nurse Practitioner (Family)
117 N WINNSBORO ST
QUITMAN, TX 75783
Nurse Practitioner (Gerontology)
117 N WINNSBORO ST
QUITMAN, TX 75783
Family Medicine
117 N WINNSBORO ST
QUITMAN, TX 75783
Nurse Practitioner (Family)
117 N WINNSBORO ST
QUITMAN, TX 75783
Nurse Practitioner (Family)
117 N WINNSBORO ST
QUITMAN, TX 75783

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205336609, enumerated as an "organization" on February 13, 2018.

The provider is located at 117 N WINNSBORO ST QUITMAN, TX 75783 and the phone number is (903) 763-6220.

Internal Medicine with taxonomy code 207R00000X.