MEDICAL RESOURCE MANAGEMENT, LLC
NPI 1104056365
Clinic/Center - Urgent Care in Edmond, OK
NPI Status: Active since July 22, 2009
Contact Information
16205 N PENNSYLVANIA AVE
EDMOND, OK
ZIP 73013
Phone: (405) 705-5700
Fax: (405) 705-5698
- Organization
- Clinic/Center
- Urgent Care
- Accepts Insurance
- CLIA Number: 37D2008976
- CLIA Cert. Type: Other - URGENT CARE
- CLIA Exp. Date: 06-29-2026
About MEDICAL RESOURCE MANAGEMENT, LLC
This page provides the complete NPI Profile along with additional information for Medical Resource Management, Llc, a provider established in Edmond, Oklahoma operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1104056365 assigned on July 2009. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated April 2025. The provider's
- NPI
- 1104056365
- Provider Legal Name
- MEDICAL RESOURCE MANAGEMENT, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 16205 N PENNSYLVANIA AVE EDMOND, OK 73013
- Location Phone
- (405) 705-5700
- Location Fax
- (405) 705-5698
- Mailing Address
- 2145 E BASELINE RD STE 101 TEMPE, AZ 85283
- Mailing Phone
- (888) 705-8558
- Mailing Fax
- (405) 705-5698
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-22-2009
- Last Update Date
- 04-29-2025
- 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 Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? Standard - PPO
- MyBlue Bronze HMO? 902 - HMO
- MyBlue Bronze HMO? 904 - HMO
- MyBlue Bronze HMO? Standard - HMO
- MyBlue Gold HMO? 704 - HMO
- MyBlue Gold HMO? 804 - HMO
- MyBlue Gold HMO? Standard - HMO
- CommunityCare Bronze IH223 - HMO
- CommunityCare Bronze IH224 - HMO
- CommunityCare Catastrophic - HMO
- CommunityCare Expanded Bronze Standardized - HMO
- CommunityCare Gold IH221 - HMO
- CommunityCare Gold L21 - HMO
- CommunityCare Gold Standardized - HMO
- CommunityCare Silver L21 - HMO
- CommunityCare Silver SLIH223 - HMO
- CommunityCare Silver Standardized - HMO
- 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
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 37D2008976
- Facility Type
- Other - URGENT CARE
- Certificate Effective Date
- June 30, 2024
- Certificate Expiration Date
- June 29, 2026
- Laboratory Director
- PETER BULLOCK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medical Resource Management, 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 MEDICAL RESOURCE MANAGEMENT, 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 | 1 | 0 | 4 | 0 | 5 | 6 | 3 | 6 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 0 | 5 | 12 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 0 + 5 + 1 + 2 + 3 + 1 + 2 + 24 = 45 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 45 = 5 | 5 | ||||||||
The NPI number 1104056365 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1528023066 | JEAN FELIX CYRIAQUE M.D.,M.P.H Individual | Preventive Medicine (Occupational Medicine) | 16205 N PENNSYLVANIA AVE EDMOND, OK 73013 (919) 740-1530 |
| 1700837986 | DR. LORING BARWICK JR. D.O. Individual | Family Medicine | 16205 N PENNSYLVANIA AVE EDMOND, OK 73013 (405) 705-5700 |
| 1083058168 | DR. MATTHEW SCOTT HAMM MD, MPH Individual | Preventive Medicine (Occupational Medicine) | 16205 N PENNSYLVANIA AVE EDMOND, OK 73013 (405) 705-5700 |
| 1063486280 | MRS. TANYA M KECK PA-C Individual | Physician Assistant (Medical) | 16205 N PENNSYLVANIA AVE ACCESS MEDICAL CENTERS EDMOND, OK 73013 (405) 705-5700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104056365, enumerated in the NPI registry as an "organization" on July 22, 2009
The provider is located at 16205 N Pennsylvania Ave Edmond, Ok 73013 and the phone number is (405) 705-5700
This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 37D2008976 for a "other - urgent care" 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 July 22, 2009. 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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