CARESOURCE-TULSA, LLC
NPI 1013024710
Durable Medical Equipment & Medical Supplies in Broken Arrow, OK
NPI Status: Active since August 25, 2006
Contact Information
1400 SW EXPRESSWAY DR
BROKEN ARROW, OK
ZIP 74012
Phone: (918) 250-7051
Fax: (918) 392-3442
- Organization
- Durable Medical Equipment & Medical Supp...
- Accepts Insurance
- CLIA Number: 37D2195890
- CLIA Cert. Type: Other - DME/CPAP PROVIDER
- CLIA Exp. Date: 10-12-2026
About CARESOURCE-TULSA, LLC
This page provides the complete NPI Profile along with additional information for Caresource-tulsa, Llc, a provider established in Broken Arrow, Oklahoma operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1013024710 assigned on August 2006. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. Larry Pierce (Executive Director)
- NPI
- 1013024710
- Provider Name
- CARESOURCE-TULSA, LLC
- Entity Type
- Organization
- Location Address
- 1400 SW EXPRESSWAY DR BROKEN ARROW, OK 74012
- Location Phone
- (918) 250-7051
- Location Fax
- (918) 392-3442
- Mailing Address
- PO BOX 270214 OKLAHOMA CITY, OK 73137
- Mailing Phone
- (918) 250-7051
- Mailing Fax
- (918) 392-3442
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-25-2006
- Last Update Date
- 07-21-2022
- Code Navigator
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
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- License State
- OK
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? Standard - PPO
- TARO Direct Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Direct Primary Care Gold $0 Ded ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Direct Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
- TARO Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
- TARO Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO
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.
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 |
|---|---|---|---|
| 200074940A | MEDICAID (05) | OK |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 37D2195890
- Facility Type
- Other - DME/CPAP PROVIDER
- Certificate Effective Date
- October 13, 2024
- Certificate Expiration Date
- October 12, 2026
- Laboratory Director
- LAURA TRAMMELL-DAWSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Caresource-tulsa, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for CARESOURCE-TULSA, LLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 1 | 3 | 0 | 2 | 4 | 7 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 0 | 2 | 8 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 0 + 2 + 8 + 7 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1013024710 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013024710, enumerated in the NPI registry as an "organization" on August 25, 2006
The provider is located at 1400 Sw Expressway Dr Broken Arrow, Ok 74012 and the phone number is (918) 250-7051
This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Taro. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 37D2195890 for a "other - dme/cpap provider" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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