MEDAC URGENT CARE
NPI 1114100872
Emergency Medicine in Wilmington, NC
NPI Status: Active since December 17, 2007
Contact Information
8115 MARKET ST
SUITE 100
WILMINGTON, NC
ZIP 28411
Phone: (910) 686-1972
Fax: (910) 686-2129
- Organization
- Emergency Medicine
- CLIA Number: 34D2116310
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-06-2027
About MEDAC URGENT CARE
This page provides the complete NPI Profile along with additional information for Medac Urgent Care, a provider established in Wilmington, North Carolina operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1114100872 assigned on December 2007. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Medac Urgent Care operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Medac Urgent Care. The authorized official of this NPI record is David Maloney (Cea)
- NPI
- 1114100872
- Provider Legal Name
- MEDAC HEALTH SERVICES, PA
- Other Organization Name
- MEDAC URGENT CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 8115 MARKET ST SUITE 100 WILMINGTON, NC 28411
- Location Phone
- (910) 686-1972
- Location Fax
- (910) 686-2129
- Mailing Address
- 216 CENTERVIEW DR STE 100 BRENTWOOD, TN 37027
- Mailing Phone
- (910) 791-0075
- Mailing Fax
- (910) 686-2129
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-17-2007
- Last Update Date
- 10-21-2024
- 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
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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 | 261QU0200X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas 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 |
|---|---|---|---|
| 07651 | OTHER (01) | NC | BCBS |
| CC2877 | OTHER (01) | NC | RAILROAD MEDICARE |
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
- 34D2116310
- Facility Type
- Physician Office
- Certificate Effective Date
- March 07, 2025
- Certificate Expiration Date
- March 06, 2027
- Laboratory Director
- MARTHA L. LJUNG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medac Urgent Care 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 MEDAC URGENT CARE
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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 | 1 | 4 | 1 | 0 | 0 | 8 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 2 | 0 | 0 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 2 + 0 + 0 + 8 + 1 + 4 + 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 1114100872 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 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1295934164 | HALLEY WHITE DDS PA Organization | Dentist (Pediatric Dentistry) | 8115 MARKET ST WILMINGTON, NC 28411 (910) 686-1869 |
| 1427490234 | HALLEY WHITE,DDS, PA Organization | Dentist (Pediatric Dentistry) | 8115 MARKET ST STE 204 WILMINGTON, NC 28411 (910) 686-1869 |
| 1407058472 | KYLE ADAM HENSLEY M.P.T. Individual | Physical Therapist | 8115 MARKET ST SUITE 108 WILMINGTON, NC 28411 (910) 332-3800 |
| 1316037799 | DR. HALLEY R WHITE DDS MPH Individual | Dentist (Pediatric Dentistry) | 8115 MARKET ST SUITE 204 WILMINGTON, NC 28411 (910) 686-1869 |
| 1396956991 | DR. ANDREW MATHEW JOHNSON DDS Individual | Dentist (Pediatric Dentistry) | 8115 MARKET ST SUITE 204 WILMINGTON, NC 28411 (910) 686-1869 |
| 1861849358 | EMERGEORTHO, PA Organization | Orthopaedic Surgery | 8115 MARKET ST SUITE 108 WILMINGTON, NC 28411 (910) 332-3800 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114100872, enumerated in the NPI registry as an "organization" on December 17, 2007
The provider is located at 8115 Market St Suite 100 Wilmington, Nc 28411 and the phone number is (910) 686-1972
This medical organization specializes in Emergency Medicine with taxonomy code 207P00000X
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.
The provider's CLIA number is 34D2116310 for a "physician office" 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 December 17, 2007. 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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