COLLOM & CARNEY CLINIC - NEW BOSTON
NPI 1811979586
Durable Medical Equipment & Medical Supplies in New Boston, TX

Active since November 17, 2005CLIA 45D0938567 · Waiver
128 N ELLIS ST, NEW BOSTON, TX 75570(903) 628-1104 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Collom & Carney Clinic - New Boston NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLOM & CARNEY CLINIC - NEW BOSTON (NPI 1811979586) is a healthcare organization registered as a durable medical equipment & medical supplies in New Boston, Texas and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through June 10, 2028 and lists Rex Thomas Simmons, Ceo Administrator, as its authorized official.

NPPES Registry Identity

NPI1811979586
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameCOLLOM & CARNEY CLINIC
Location Address128 N ELLIS STNew Boston, TX 75570-2904
Mailing Address5002 Cowhorn Creek RdTexarkana, TX 75503-9766 · (903) 614-3000 · Fax (903) 614-3525
Organization SubpartYes
Authorized OfficialRex Thomas SimmonsCeo Administrator · (903) 614-3280
Enumeration DateNovember 17, 2005
Last NPPES UpdateFebruary 24, 2023
NPPES CertifiedFebruary 24, 2023
NPI 1811979586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
128 N ELLIS ST, New Boston, TX 75570

Other Names 1

Other NameCollom & Carney Clinic - New Boston

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0938567

Collom & Carney New Boston · New Boston, TX
Active · expires Jun 10, 2028
CLIA Number45D0938567
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorPaul Smith
Laboratory Phone(903) 628-1104
Laboratory LocationCollom & Carney New Boston128 N Ellis, New Boston, TX 75570
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
128 N ELLIS ST
NEW BOSTON, TX 75570
Family Medicine
128 N ELLIS ST
NEW BOSTON, TX 75570

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Collom & Carney Clinic's NPI number?

The NPI number for Collom & Carney Clinic is 1811979586. It was assigned to this organization in the NPPES registry on November 17, 2005. The provider is also known as Collom & Carney Clinic - New Boston.

Where is Collom & Carney Clinic located?

Collom & Carney Clinic is located at 128 N Ellis St, New Boston, TX 75570. The listed phone number is (903) 628-1104.

What is Collom & Carney Clinic's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Collom & Carney Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0938567) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Collom & Carney Clinic was last updated on February 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.