STEPHEN F. AUSTIN STATE UNIV. HEALTH SERVICE
NPI 1265501076
Clinic/Center - Student Health in Nacogdoches, TX

NPI Status: Active since November 07, 2006

Contact Information

2106 RAGUET ST N
BOX 13058
NACOGDOCHES, TX
ZIP 75962
Phone: (936) 468-4008
Fax: (936) 468-1316

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  • Organization
  • Clinic/Center
  • Student Health
  • CLIA Number: 45D0670854
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 05-07-2027

About STEPHEN F. AUSTIN STATE UNIV. HEALTH SERVICE

This page provides the complete NPI Profile along with additional information for Stephen F. Austin State Univ. Health Service, a primary care provider established in Nacogdoches, Texas operating as a Clinic/center, focusing in student health . The healthcare provider is registered in the NPI registry with number 1265501076 assigned on November 2006. The practitioner's primary taxonomy code is 261QS1000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. John Miller M.d. (Director)

NPI
1265501076
Provider Name
STEPHEN F. AUSTIN STATE UNIV. HEALTH SERVICE
Entity Type
Organization
Location Address
2106 RAGUET ST N BOX 13058 NACOGDOCHES, TX 75962
Location Phone
(936) 468-4008
Location Fax
(936) 468-1316
Mailing Address
2106 RAGUET ST N BOX 13058 NACOGDOCHES, TX 75962
Mailing Phone
(936) 468-4008
Mailing Fax
(936) 468-1316
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-07-2006
Last Update Date
08-22-2020
Code Navigator

A primary care provider (PCP) like Stephen F. Austin State Univ. Health Service 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 Student Health

Taxonomy Code
261QS1000X
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

DR. JOHN MILLER M.D.

Authorized Official Title
DIRECTOR
Authorized Official Phone
(936) 468-4008

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
45D0670854
Facility Type
School/Student Health Service
Certificate Effective Date
May 08, 2025
Certificate Expiration Date
May 07, 2027
Laboratory Director
BONNIE B. RYAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Stephen F. Austin State Univ. Health Service 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 1265501076, we treat the final digit (6) 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 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 6).

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
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
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 6 → 12 → 3 5 → 10 → 1 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 2 + 5 + 1 + 0 + 0 + 2 + 0 + 1 + 4 + 24 = 44

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

The next multiple of ten after 44 is 50. The difference is the calculated check digit.

50 - 44 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1265501076.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265501076, enumerated as an "organization" on November 07, 2006.

The provider is located at 2106 RAGUET ST N BOX 13058 NACOGDOCHES, TX 75962 and the phone number is (936) 468-4008.

Clinic/Center with taxonomy code 261QS1000X and a focus in Student Health.