ETMC CROCKETT FAMILY MEDICAL CENTER RHC
NPI 1962483453
Clinic/Center - Rural Health in Crockett, TX

NPI Status: Active since November 10, 2005

Contact Information

1100 E LOOP 304
SUITE 200
CROCKETT, TX
ZIP 75835
Phone: (936) 544-5132
Fax: (936) 544-3792

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  • Organization
  • Clinic/Center
  • Rural Health

About ETMC CROCKETT FAMILY MEDICAL CENTER RHC

This page provides the complete NPI Profile along with additional information for Etmc Crockett Family Medical Center Rhc, a primary care provider established in Crockett, Texas operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1962483453 assigned on November 2005. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Etmc Crockett Family Medical Center Rhc. The authorized official of this NPI record is Mr. Terry Cutler (Administrator)

NPI
1962483453
Provider Legal Name
EAST TEXAS MEDICAL CENTER
Other Organization Name
ETMC CROCKETT FAMILY MEDICAL CENTER RHC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1100 E LOOP 304 SUITE 200 CROCKETT, TX 75835
Location Phone
(936) 544-5132
Location Fax
(936) 544-3792
Mailing Address
PO BOX 1304 PITTSBURG, TX 75686
Mailing Phone
(936) 544-5132
Mailing Fax
(936) 544-3792
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-10-2005
Last Update Date
02-24-2015
Code Navigator

A primary care provider (PCP) like Etmc Crockett Family Medical Center Rhc 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 .

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 Rural Health

Taxonomy Code
261QR1300X
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:

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.

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

MR. TERRY CUTLER

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(936) 546-3862

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
095181602MEDICAID (05)TX 
453411MEDICARE ID-TYPE UNSPECIFIED (04)TX 

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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 1962483453, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
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 6 → 12 → 3 4 → 8 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 2 + 2 + 8 + 8 + 6 + 4 + 1 + 0 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1962483453.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Family Medicine
1100 E LOOP 304
CROCKETT, TX 75835
Emergency Medicine
1100 E LOOP 304
CROCKETT, TX 75835
Internal Medicine (Nephrology)
1100 E LOOP 304
CROCKETT, TX 75835
Medicare Defined Swing Bed Unit
1100 E LOOP 304
CROCKETT, TX 75835
General Acute Care Hospital
1100 E LOOP 304
CROCKETT, TX 75835
General Acute Care Hospital (Critical Access)
1100 E LOOP 304
CROCKETT, TX 75835
Pharmacist (Psychiatric)
1100 E LOOP 304
CROCKETT, TX 75835
General Acute Care Hospital
1100 E LOOP 304
CROCKETT, TX 75835
Clinic/Center (Ambulatory Surgical)
1100 E LOOP 304
CROCKETT, TX 75835
Long Term Care Hospital
1100 E LOOP 304
CROCKETT, TX 75835
General Acute Care Hospital (Critical Access)
1100 E LOOP 304
CROCKETT, TX 75835
General Acute Care Hospital (Critical Access)
1100 E LOOP 304
CROCKETT, TX 75835
General Acute Care Hospital
1100 E LOOP 304
CROCKETT, TX 75835
Nurse Practitioner
1100 E LOOP 304
CROCKETT, TX 75835
Family Medicine
1100 E LOOP 304
CROCKETT, TX 75835
Emergency Medicine
1100 E LOOP 304
CROCKETT, TX 75835
Internal Medicine (Nephrology)
1100 E LOOP 304
CROCKETT, TX 75835
Ambulance
1100 E LOOP 304
CROCKETT, TX 75835

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962483453, enumerated as an "organization" on November 10, 2005.

The provider is located at 1100 E LOOP 304 SUITE 200 CROCKETT, TX 75835 and the phone number is (936) 544-5132.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.