CORPUS CHRISTI INTEGRATIVE CLINIC
NPI 1336857796
Clinic/Center - Infusion Therapy in Corpus Christi, TX
NPI Status: Active since November 14, 2022
Contact Information
400 MANN ST STE 107
CORPUS CHRISTI, TX
ZIP 78401
Phone: (812) 725-0950
- Organization
- Clinic/Center
- Infusion Therapy
- Accepts Insurance
- CLIA Number: 45D2280294
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-16-2025
About CORPUS CHRISTI INTEGRATIVE CLINIC
This page provides the complete NPI Profile along with additional information for Corpus Christi Integrative Clinic, a provider established in Corpus Christi, Texas operating as a Clinic/center, focusing in infusion therapy . The healthcare provider is registered in the NPI registry with number 1336857796 assigned on November 2022. The practitioner's primary taxonomy code is 261QI0500X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's other name is Corpus Christi Integrative Clinic. The authorized official of this NPI record is Jo Holland (Owner)
- NPI
- 1336857796
- Provider Legal Name
- CORPUS CHRISTI INTEGRATIVE CLINIC LLC
- Other Organization Name
- CORPUS CHRISTI INTEGRATIVE CLINIC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 400 MANN ST STE 107 CORPUS CHRISTI, TX 78401
- Location Phone
- (812) 725-0950
- Mailing Address
- 400 MANN ST STE 107 CORPUS CHRISTI, TX 78401
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-14-2022
- Last Update Date
- 04-04-2024
- 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 Infusion Therapy
- Taxonomy Code
- 261QI0500X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold (QualChoice) - POS
- Elite Gold (QualChoiceLife) - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Everyday Silver (QualChoiceLife) - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Standard Expanded Bronze + Vision + Adult Dental - PPO
- Standard Gold - PPO
- Standard Gold + Vision + Adult Dental - PPO
- Standard Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 45D2280294
- Facility Type
- Physician Office
- Certificate Effective Date
- April 17, 2023
- Certificate Expiration Date
- April 16, 2025
- Laboratory Director
- RICKEY D. KINZEY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Corpus Christi Integrative Clinic 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 3 | 3 | 6 | 8 | 5 | 7 | 7 | 9 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 6 | 6 | 16 | 5 | 14 | 7 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 6 + 6 + 1 + 6 + 5 + 1 + 4 + 7 + 1 + 8 + 24 = 74 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 74 = 6 | 6 |
The NPI number 1336857796 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
RICKEY DALE KINZEY D.O.
Family Medicine
(Addiction Medicine)
400 MANN ST STE 107
CORPUS CHRISTI, TX
ZIP 78401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336857796, enumerated as an "organization" on November 14, 2022.
The provider is located at 400 MANN ST STE 107 CORPUS CHRISTI, TX 78401 and the phone number is (812) 725-0950.
Clinic/Center with taxonomy code 261QI0500X and a focus in Infusion Therapy.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.