CHRISTUS GOOD SHEPHERD MEDICAL CENTER
NPI 1407356561
Clinic/Center - Ambulatory Surgical in Longview, TX
NPI Status: Active since February 15, 2018
Contact Information
703 E MARSHALL AVE STE 2000
LONGVIEW, TX
ZIP 75601
Phone: (903) 315-5300
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 45D1078152
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-01-2026
About CHRISTUS GOOD SHEPHERD MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Christus Good Shepherd Medical Center, a provider established in Longview, Texas operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1407356561 assigned on February 2018. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Norman Todd Hancock (President/ceo)
- NPI
- 1407356561
- Provider Name
- CHRISTUS GOOD SHEPHERD MEDICAL CENTER
- Entity Type
- Organization
- Location Address
- 703 E MARSHALL AVE STE 2000 LONGVIEW, TX 75601
- Location Phone
- (903) 315-5300
- Mailing Address
- 811 S WASHINGTON AVE MARSHALL, TX 75670
- Mailing Phone
- (903) 927-6000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-15-2018
- Last Update Date
- 02-15-2018
- Code Navigator
According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is non-profit and was certified on 09-27-2000 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke
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 Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
Inpatient Rehabilitation Information
The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.
- CHRISTUS GOOD SHEPHERD MEDICAL CENTER has an ownership type of Non-profit
- The facility received it's medicare certification date on 09-27-2000
| Medical Condition | Times Conditions Treated |
|---|---|
| All other conditions | 123 |
| Brain disease or condition (non-traumatic) | 21 |
| Brain injury (traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Hip or femur fracture | 75 |
| Hip or knee replacement, amputation or other bone or joint condition | 85 |
| Nervous system disorder (excluding stroke) | Less than 11 - The number of cases/patient stays is too small to report. |
| Spinal cord disease or condition (non-traumatic) | 35 |
| Spinal cord injury (traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Stroke | 90 |
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
- 45D1078152
- Facility Type
- Physician Office
- Certificate Effective Date
- January 02, 2024
- Certificate Expiration Date
- January 01, 2026
- Laboratory Director
- CHRISTOPHER SCOTT BOYLAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Christus Good Shepherd Medical Center 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 1407356561, 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407356561, enumerated as an "organization" on February 15, 2018.
The provider is located at 703 E MARSHALL AVE STE 2000 LONGVIEW, TX 75601 and the phone number is (903) 315-5300.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
