MOORE COUNTY PHO LLC NPI 1841806791

Family Medicine in Dumas, TX

Organization Family Medicine CLIA Number 45D0918200 CLIA Certificate of Accreditation

About MOORE COUNTY PHO LLC

Moore County Pho Llc is a primary care provider established in Dumas, Texas specializing in Family Medicine. The NPI number of Moore County Pho Llc is 1841806791 and was assigned on September 2020. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Moore County Pho Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jeffrey Turner (Ceo)

A primary care provider (PCP) like Moore County Pho Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

The CLIA number of Moore County Pho Llc is 45D0918200 registered as a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued to Moore County Pho Llc 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.

NPI

1841806791

Provider NameMOORE COUNTY PHO LLC
Provider Location Address224 E 2ND ST DUMAS, TX 79029
Provider Mailing Address224 E 2ND ST DUMAS, TX 79029
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-16-2020
Last Update Date09-16-2020


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

MOORE COUNTY PHO LLC
224 E 2ND ST
DUMAS, TX
ZIP 79029
Phone: (806) 935-7171
Fax: (806) 934-7836

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Mailing Address

MOORE COUNTY PHO LLC
224 E 2ND ST
DUMAS, TX
ZIP 79029
Phone: (806) 935-7171
Fax: (806) 934-7836


Authorized Official

Authorized Official Name JEFFREY TURNER
Authorized Official TitleCEO
Authorized Official Phone(806) 935-7171

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 the NPI number 1841806791 is:

CLIA Number45D0918200
Facility TypeHOSPITAL
Certificate TypeCertificate of Accreditation

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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.
1841806791
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
288116012718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 8 + 1 + 1 + 6 + 0 + 1 + 2 + 7 + 1 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1841806791 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1861569501DR. MANISHA WAGLE MD
Individual
Anesthesiology224 E 2ND ST
DUMAS, TX 79029
(806) 934-7839
1700924198MRS. ANGELA MARIE JORDAN PTA
Individual
Physical Therapy Assistant224 E 2ND ST
DUMAS, TX 79029
(806) 935-7171
1992844302MISS JANA MARIE MCCLOY OTR
Individual
Occupational Therapist224 E 2ND ST
DUMAS, TX 79029
(806) 935-7171
1003003625HARRIS DIAGNOSTIC IMAGING CONSULTANTS, PA
Organization
Radiology (Diagnostic Radiology)224 E 2ND ST
DUMAS, TX 79029
(806) 935-7171
1639333693MOORE COUNTY PHYSICIAN GROUP
Organization
Anesthesiology224 E 2ND ST
DUMAS, TX 79029
(806) 934-7813
1790734515CANADIAN RIVER EMERGENCY PHYSICIANS PLLC
Organization
Emergency Medicine224 E 2ND ST
DUMAS, TX 79029
(806) 935-7171
1497813588DR. STELLA TAN MD
Individual
Anesthesiology224 E 2ND ST
DUMAS, TX 79029
(806) 934-7839
1184685299 FAH S LEONG MD
Individual
Radiology (Diagnostic Radiology)224 E 2ND ST
DUMAS, TX 79029
(806) 935-7171
1265709158MS. BERETTE HART R.D., L.D.
Individual
Dietitian, Registered224 E 2ND ST
DUMAS, TX 79029
(806) 935-7171
1528184728 CORI LAWSON MS, CCC-SLP
Individual
Speech-Language Pathologist224 E 2ND ST
DUMAS, TX 79029
(806) 934-2225
1255698213 JUSTIN MICHAEL CORBIN M.D.
Individual
Family Medicine224 E 2ND ST
DUMAS, TX 79029
(806) 934-7171
1639548258 CHRISTINE KIMBRELL MSPT
Individual
Physical Therapist224 E 2ND ST
DUMAS, TX 79029
(806) 935-7171
1790155380 DOROTHY SCHWERTNER
Individual
Occupational Therapist224 E 2ND ST
DUMAS, TX 79029
(806) 935-7171
1558731737 ANTOINE VALCOURT
Individual
Occupational Therapist224 E 2ND ST
DUMAS, TX 79029
(806) 935-7171
1992176416 FRANCES GO
Individual
Physical Therapist224 E 2ND ST
DUMAS, TX 79029
(806) 935-7171
1093243784 ADAM LEE FIEBER CRNA
Individual
Nurse Anesthetist, Certified Registered224 E 2ND ST
DUMAS, TX 79029
(806) 935-7171
1518500420 TIMOTHY ROBERT MICHAUD OTR
Individual
Occupational Therapist224 E 2ND ST
DUMAS, TX 79029
(806) 935-7171
1376168054 KEN E QUALLS SA-C
Individual
Specialist/Technologist, Other (Surgical Assistant)224 E 2ND ST
DUMAS, TX 79029
(806) 935-7171
1982998365DR. LAUREN MICHELLE SCHAUB M.D.
Individual
Obstetrics & Gynecology (Gynecology)224 E 2ND ST
DUMAS, TX 79029
(806) 935-7171
1932603933 JOSEF ALDRIN CRUZ APOLINARIO MD
Individual
Internal Medicine224 E 2ND ST
DUMAS, TX 79029
(806) 935-7171

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Moore County Pho Llc is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.