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SUDAN MEDICAL CLINIC, LLC
NPI 1215942073
Physician Assistant in Sudan, TX

Active since July 30, 2006CLIA 45D1048428 · Waiver
408 E US HWY 84, SUDAN, TX 79371(806) 227-2292(806) 227-2293 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 12, 2021, Jun 15, 2020 (2 updates tracked since 2020).

About Sudan Medical Clinic, Llc NPPES

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

SUDAN MEDICAL CLINIC, LLC (NPI 1215942073) is a healthcare organization registered as a physician assistant in Sudan, Texas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 30, 2027 and lists Mark Lee Mcclanahan, President/physician, as its authorized official.

NPPES Registry Identity

NPI1215942073
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameSUDAN MEDICAL CLINIC, LLC
Location Address408 E US HWY 84Sudan, TX 79371
Mailing AddressPo Box 119Sudan, TX 79371-0119 · (806) 227-2292 · Fax (806) 227-2293
Phone(806) 227-2292
Fax(806) 227-2293
Organization SubpartNo
Authorized OfficialMark Lee McclanahanPresident/physician · (806) 227-2292
Enumeration DateJuly 30, 2006
Last NPPES UpdateApril 12, 20212 updates tracked since enumeration
NPPES CertifiedApril 12, 2021
✔ NPI 1215942073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA02006
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedFamily MedicineTaxonomy 207Q00000X · License H4531 (TX)
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
408 E US HWY 84, Sudan, TX 79371
Open in Google Maps ↗

Other Identifiers 9

Other673951TX · Medicare
Other00963ZMedicare
Medicaid178241902TX
Other0074NHTX · Blue Cross Blue Shield
Other118927111TX · First Care
Medicaid178241901TX
Other673950TX · Medicare
Other137527TX · Superior Health Plan
Other5594300001TX · Palmetto Gba

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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

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 45D1048428

Sudan Medical Clinic · Sudan, TX
Active · expires Nov 30, 2027
CLIA Number45D1048428
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorMark L. Mcclanahan
Laboratory Phone(806) 227-2292
Laboratory LocationSudan Medical Clinic408 E Us Hwy 84 Sudan, Sudan, TX 79371
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MS. LISA M ALLEN PA-C
Physician Assistant
408 E US HWY 84
SUDAN, TX 79371
Lamb County (806) 227-2292

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sudan Medical Clinic, LLC's NPI number?

The NPI number for Sudan Medical Clinic, LLC is 1215942073. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Sudan Medical Clinic, LLC located?

Sudan Medical Clinic, LLC is located at 408 E Us Hwy 84, Sudan, TX 79371. The listed phone number is (806) 227-2292.

What is Sudan Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Sudan Medical Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1048428) is associated with this NPI, valid through November 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sudan Medical Clinic, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Sudan Medical Clinic, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sudan Medical Clinic, LLC was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.