Clear Choice ER, LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

CLEAR CHOICE ER, LLC

Doing business as

Clear Choice ER

Practice address

7105 Bartlett Ave.
Laredo, TX 78041

Phone

(281) 363-3156

NPI assigned

Nov 20, 2018

Last updated

Jun 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Castaneda Jr.

Title

Ceo

Phone

(956) 206-5980

Specialties & licenses 1

Addresses

Other names 1

• CLEAR CHOICE ER Doing business as

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 1699244624. Details of each certification follow.

• CCN 670250 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 670250

Legal name

CLEAR CHOICE ER LLC

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

May 6, 2020

Last certification

May 6, 2020

Beds

1

Ownership / control type

Private (not for profit)

Facility address

7105 N. Bartlett Ave., Suite 101
Laredo, TX 78041

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1699244624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 BARTLETT AVE.",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 BARTLETT AVE.",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78041",
            "telephone_number": "281-363-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CHOICE ER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "CASTANEDA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-206-5980",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLEAR CHOICE ER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CLEAR CHOICE ER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emergency Care Clinic/Center in Laredo, TX
• Providers in Laredo, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.