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NPI · 1215942073 · NPPES-sourced

Sudan Medical Clinic, LLC

ActivePhysician Assistant
NPI Number
1215942073
Type 2 · Organisation
Taxonomy Code
363A00000X
Contact
(806) 227-2292
License TX · PA02006
Last Updated
Enumerated
Primary practice addressTX · 79371
408 E US Hwy 84Sudan, TX 79371
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About this NPIWhat this record shows.

NPI 1215942073 is registered to Sudan Medical Clinic, LLC, a healthcare organisation classified as "Physician Assistant" and located at 408 E US Hwy 84 in Sudan, Texas. The organisation's authorised official is Mark Mcclanahan. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 118927111TX· Issued by FIRST CARE
  • 00963Z· Issued by MEDICARE
  • 137527TX· Issued by SUPERIOR HEALTH PLAN
  • 0074NHTX· Issued by BLUE CROSS BLUE SHIELD
  • 673950TX· Issued by MEDICARE
  • 673951TX· Issued by MEDICARE
  • 5594300001TX· Issued by PALMETTO GBA

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part A Provider

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Sudan Medical Clinic, LLC accepts. To confirm in-network status with your specific health plan, contact Sudan Medical Clinic, LLC directly at (806) 227-2292.

Frequently asked

Yes. NPI 1215942073 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (806) 227-2292.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Sudan Medical Clinic, LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy363A00000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
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1 record · same addressOther providers at this location.

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Same specialtyOther Physician Assistant providers in Texas.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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