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SHAE-RUN INC. NPI 1124192679


NPI Information

NPI: 1124192679
Provider Name: SHAE-RUN INC.

Doing Business As: HEALTH INNOVATIONS CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 45D1085351

Address:
1700 W BUSINESS 380
DECATUR, TX
ZIP 76234
Phone: (940) 627-7811
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SHAE-RUN INC. is a clinic center in Decatur, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SHAE-RUN INC. NPI is 1124192679. The provider is registered as an organization entity type.
The provider Is Doing Business As Health Innovations Clinic.

The provider's business location address is:

1700 W BUSINESS 380
DECATUR, TX
ZIP 76234-232
Phone: (940) 627-7811

The provider's authorized official is Ron W Westbrook .
The authorized official title is President and has the following contact phone number (940) 627-7811.

The CLIA number assigned to this NPI record is 45D1085351 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 7/28/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterF002746TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11841296704OTHERTEXASDR. WESTBROOK'S NPI
2450283MEDICARE UPINTEXAS
300307ZMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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