NPIMap

Organization Active NPI

Complete Emergency Care la Vernia LLC

Doing business as The Emergency Clinic at La Vernia

  • Emergency Care Clinic/Center
  • La Vernia, TX
National Provider Identifier
1568835569
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
COMPLETE EMERGENCY CARE LA VERNIA LLC
Doing business as
The Emergency Clinic at La Vernia
Practice address
202 S FM 1346
102
La Vernia, TX 78121-4282
Phone
(817) 421-0034
Fax
(817) 421-0036
NPI assigned
Nov 12, 2015
Last updated
Jun 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Braxton Neiman, ESQ.
Title
General Counsel
Phone
(817) 421-0034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X NU Primary

Addresses

Primary practice location

202 S FM 1346
102
La Vernia, TX 78121-4282

Mailing address

PO Box 92275
Southlake, TX 76092-0103
Phone (817) 421-0034

Other names 1

  • The Emergency Clinic at La Vernia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568835569. Details of each certification follow.

Hospital certification: CCN 670190

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
COMPLETE EMERGENCY CARE LA VERNIA, LLC
Certification status
Terminated Voluntary: merger or closure, May 11, 2023
Provider type (POS)
Hospital – Short-term
Participating since
Apr 29, 2020
Last certification
Apr 29, 2020
Beds
1
Ownership / control type
Private (not for profit)
Facility address
202 S FM 1346, Suite 2
Lavernia, TX 78121

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1568835569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92275",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760920103",
            "telephone_number": "817-421-0034",
            "fax_number": "817-421-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S FM 1346",
            "address_2": "102",
            "city": "LA VERNIA",
            "state": "TX",
            "postal_code": "781214282",
            "telephone_number": "817-421-0034",
            "fax_number": "817-421-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE EMERGENCY CARE LA VERNIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "NEIMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRAXTON",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "817-421-0034",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Emergency Clinic at La Vernia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Vernia, TX

Sources for this page

Verify at the official NPI Registry.