BEULAH MEDICAL CLINIC
NPI 1750144150
Clinic/Center in Desoto, TX
NPI Status: Active since January 30, 2024
Contact Information
1534-A N HAMPTON ROAD
SUITE 100
DESOTO, TX
ZIP 75115
Phone: (469) 585-8129
- Organization
- Clinic/Center
- Accepts Insurance
- CLIA Number: 45D2301943
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-02-2026
About BEULAH MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Beulah Medical Clinic, a provider established in Desoto, Texas operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1750144150 assigned on January 2024. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is Beulah Medical Clinic. The authorized official of this NPI record is Patrick Moneke (Administrator)
- NPI
- 1750144150
- Provider Legal Name
- BEULAH FAMILY CLINIC PROFESSIONAL LIMITED LIABILITY COMPANY
- Other Organization Name
- BEULAH MEDICAL CLINIC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1534-A N HAMPTON ROAD SUITE 100 DESOTO, TX 75115
- Location Phone
- (469) 585-8129
- Mailing Address
- 1534A N HAMPTON RD DESOTO, TX 75115
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-30-2024
- Last Update Date
- 06-28-2024
- 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
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
*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
- 45D2301943
- Facility Type
- Physician Office
- Certificate Effective Date
- April 03, 2024
- Certificate Expiration Date
- April 02, 2026
- Laboratory Director
- NOE MEDINA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Beulah Medical 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 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 1750144150, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
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 50 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750144150, enumerated as an "organization" on January 30, 2024.
The provider is located at 1534-A N HAMPTON ROAD SUITE 100 DESOTO, TX 75115 and the phone number is (469) 585-8129.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.
