KICKAPOO TRADITIONAL TRIBE OF TEXAS
NPI 1821159518
Clinic/Center - Health Service in Eagle Pass, TX
NPI Status: Active since December 13, 2006
Contact Information
2192 ROSITA VALLEY ROAD
EAGLE PASS, TX
ZIP 78852
Phone: (830) 421-5349
Fax: (830) 757-5193
- Organization
- Clinic/Center
- Health Service
- Accepts Insurance
- CLIA Number: 45D2087711
- CLIA Cert. Type: Other - TRIBAL HEALTH FACILITY
- CLIA Exp. Date: 11-22-2025
About KICKAPOO TRADITIONAL TRIBE OF TEXAS
This page provides the complete NPI Profile along with additional information for Kickapoo Traditional Tribe Of Texas, a provider established in Eagle Pass, Texas operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1821159518 assigned on December 2006. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's former legal business name is Texas Band Of Kickapoo. The authorized official of this NPI record is Juanita Elizondo (Office Manager)
- NPI
- 1821159518
- Provider Legal Name
- KICKAPOO TRADITIONAL TRIBE OF TEXAS
- Other Organization Name
- TEXAS BAND OF KICKAPOO
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 2192 ROSITA VALLEY ROAD EAGLE PASS, TX 78852
- Location Phone
- (830) 421-5349
- Location Fax
- (830) 757-5193
- Mailing Address
- 2192 ROSITA VALLEY ROAD EAGLE PASS, TX 78852
- Mailing Phone
- (830) 421-5349
- Mailing Fax
- (830) 757-5193
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-13-2006
- Last Update Date
- 03-14-2023
- 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 Health Service
- Taxonomy Code
- 261QH0100X
- 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:
- 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
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| HSZ222 | OTHER (01) | TX | MEDICARE |
| 200158801 | MEDICAID (05) | TX |
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
- 45D2087711
- Facility Type
- Other - TRIBAL HEALTH FACILITY
- Certificate Effective Date
- November 23, 2023
- Certificate Expiration Date
- November 22, 2025
- Laboratory Director
- JORGE A. BARBOZA-SOSA
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Kickapoo Traditional Tribe Of Texas after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 | 8 | 2 | 1 | 1 | 5 | 9 | 5 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 4 | 1 | 2 | 5 | 18 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 4 + 1 + 2 + 5 + 1 + 8 + 5 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1821159518 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821159518, enumerated in the NPI registry as an "organization" on December 13, 2006
The provider is located at 2192 Rosita Valley Road Eagle Pass, Tx 78852 and the phone number is (830) 421-5349
This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 45D2087711 for a "other - tribal health facility" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on December 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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