FULTONDALE URGENT CARE LLC
NPI 1063804052
Clinic/Center in Fultondale, AL
NPI Status: Active since February 27, 2015
Contact Information
339 WALKER CHAPEL PLZ
SUITE 115
FULTONDALE, AL
ZIP 35068
Phone: (205) 841-2844
- Organization
- Clinic/Center
About FULTONDALE URGENT CARE LLC
This page provides the complete NPI Profile along with additional information for Fultondale Urgent Care Llc, a provider established in Fultondale, Alabama operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1063804052 assigned on February 2015. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Doug Randall (Coo)
- NPI
- 1063804052
- Provider Name
- FULTONDALE URGENT CARE LLC
- Entity Type
- Organization
- Location Address
- 339 WALKER CHAPEL PLZ SUITE 115 FULTONDALE, AL 35068
- Location Phone
- (205) 841-2844
- Mailing Address
- 339 WALKER CHAPEL PLZ SUITE 115 FULTONDALE, AL 35068
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-27-2015
- Last Update Date
- 03-02-2015
- 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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- 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).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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.
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 |
|---|---|---|---|
| 0CXJ1 | OTHER (01) | AL | BCBS |
| 1659697696 | OTHER (01) | AL | TRICARE SOUTH |
| 169110 | MEDICAID (05) | AL | |
| 615236400 | OTHER (01) | DOL | |
| DQ4012 | OTHER (01) | AL | RRMC |
| 102G708163 | MEDICARE PIN (08) | AL |
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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 | 6 | 3 | 8 | 0 | 4 | 0 | 5 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 16 | 0 | 8 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 1 + 6 + 0 + 8 + 0 + 1 + 0 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1063804052 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1922334945 | NORWOOD CLINIC, INC Organization | Radiology (Diagnostic Radiology) | 339 WALKER CHAPEL PLZ SUITE 101 FULTONDALE, AL 35068 (205) 380-7878 |
| 1902996713 | PAUL ROBERTS MD Individual | Emergency Medicine | 339 WALKER CHAPEL PLZ SUITE 115 FULTONDALE, AL 35068 (205) 841-2844 |
| 1972915437 | JORDAN HAMMOCK Individual | Nurse Practitioner (Family) | 339 WALKER CHAPEL PLZ FULTONDALE, AL 35068 (205) 841-2844 |
| 1376098301 | DANIEL NAILOR CRNP Individual | Nurse Practitioner (Family) | 339 WALKER CHAPEL PLZ #115 FULTONDALE, AL 35068 (205) 340-5712 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063804052, enumerated in the NPI registry as an "organization" on February 27, 2015
The provider is located at 339 Walker Chapel Plz Suite 115 Fultondale, Al 35068 and the phone number is (205) 841-2844
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on February 27, 2015. 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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