SAMA HEALTHCARE SERVICES IDTF
NPI 1508802034
Clinic/Center - Radiology in El Dorado, AR

NPI Status: Active since June 22, 2006

Contact Information

600 S TIMBERLANE DR
EL DORADO, AR
ZIP 71730
Phone: (870) 862-2400
Fax: (870) 862-1891

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  • Organization
  • Clinic/Center
  • Radiology
  • CLIA Number: 04D0963063
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-29-2027

About SAMA HEALTHCARE SERVICES IDTF

This page provides the complete NPI Profile along with additional information for Sama Healthcare Services Idtf, a provider established in El Dorado, Arkansas operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1508802034 assigned on June 2006. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Sama Healthcare Services Idtf. The authorized official of this NPI record is Jerry E Detwiler (Administrator)

NPI
1508802034
Provider Legal Name
SOUTH ARKANSAS MEDICAL ASSOCIATES IDTF
Other Organization Name
SAMA HEALTHCARE SERVICES IDTF
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
600 S TIMBERLANE DR EL DORADO, AR 71730
Location Phone
(870) 862-2400
Location Fax
(870) 862-1891
Mailing Address
600 S TIMBERLANE DR EL DORADO, AR 71730
Mailing Phone
(870) 862-2400
Mailing Fax
(870) 862-1891
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-22-2006
Last Update Date
08-22-2020
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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 Radiology

Taxonomy Code
261QR0200X
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

JERRY E DETWILER

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(870) 864-8120

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
04D0963063
Facility Type
Physician Office
Certificate Effective Date
January 30, 2025
Certificate Expiration Date
January 29, 2027
Laboratory Director
MS. KAREN R. WARD
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Sama Healthcare Services Idtf on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1508802034, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
4
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 8 → 16 → 7 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 0 + 8 + 1 + 6 + 0 + 4 + 0 + 6 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1508802034.

Other Providers at the Same Location


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

Nurse Practitioner (Adult Health)
600 S TIMBERLANE DR
EL DORADO, AR 71730
Nurse Practitioner (Family)
600 S TIMBERLANE DR
EL DORADO, AR 71730
Family Medicine
600 S TIMBERLANE DR
EL DORADO, AR 71730
Family Medicine
600 S TIMBERLANE DR
EL DORADO, AR 71730
Family Medicine
600 S TIMBERLANE DR
EL DORADO, AR 71730
Family Medicine
600 S TIMBERLANE DR
EL DORADO, AR 71730
Nurse Practitioner (Pediatrics)
600 S TIMBERLANE DR
EL DORADO, AR 71730
Counselor (Professional)
600 S TIMBERLANE DR
EL DORADO, AR 71730
Family Medicine
600 S TIMBERLANE DR
EL DORADO, AR 71730
Family Medicine
600 S TIMBERLANE DR
EL DORADO, AR 71730
Counselor (Mental Health)
600 S TIMBERLANE DR
EL DORADO, AR 71730
Counselor (Mental Health)
600 S TIMBERLANE DR
EL DORADO, AR 71730
Counselor (Mental Health)
600 S TIMBERLANE DR
EL DORADO, AR 71730
Family Medicine
600 S TIMBERLANE DR
EL DORADO, AR 71730
Nurse Practitioner (Family)
600 S TIMBERLANE DR
EL DORADO, AR 71730
Family Medicine
600 S TIMBERLANE DR
EL DORADO, AR 71730
Physician Assistant
600 S TIMBERLANE DR
EL DORADO, AR 71730
Counselor (Professional)
600 S TIMBERLANE DR
EL DORADO, AR 71730
Nurse Practitioner (Women's Health)
600 S TIMBERLANE DR
EL DORADO, AR 71730
Nurse Practitioner (Family)
600 S TIMBERLANE DR
EL DORADO, AR 71730

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508802034, enumerated as an "organization" on June 22, 2006.

The provider is located at 600 S TIMBERLANE DR EL DORADO, AR 71730 and the phone number is (870) 862-2400.

Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.