SAINT CAMILLUS URGENT CARE
NPI 1437676475
Nurse Practitioner in Brandenburg, KY

NPI Status: Active since August 29, 2017

Contact Information

2025 BYPASS RD STE 205
BRANDENBURG, KY
ZIP 40108
Phone: (270) 422-4410
Fax: (270) 422-4409

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  • Organization
  • Nurse Practitioner
  • CLIA Number: 18D2054463
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 02-20-2027

About SAINT CAMILLUS URGENT CARE

This page provides the complete NPI Profile along with additional information for Saint Camillus Urgent Care, a provider established in Brandenburg, Kentucky operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1437676475 assigned on August 2017. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 6 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 provider's is doing business as Saint Camillus Urgent Care. The authorized official of this NPI record is Chuck Young (Owner)

NPI
1437676475
Provider Legal Name
ACK HEALTHCARE MANAGEMENT, LLC
Other Organization Name
SAINT CAMILLUS URGENT CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2025 BYPASS RD STE 205 BRANDENBURG, KY 40108
Location Phone
(270) 422-4410
Location Fax
(270) 422-4409
Mailing Address
PO BOX 1099 OWENSBORO, KY 42302
Mailing Phone
(502) 277-5170
Mailing Fax
(270) 422-4409
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-29-2017
Last Update Date
08-29-2019
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A nurse practitioner (NP) like Saint Camillus Urgent Care is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHUCK YOUNG

Authorized Official Title
OWNER
Authorized Official Phone
(270) 295-3890

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
18D2054463
Facility Type
Rural Health Clinic
Certificate Effective Date
February 21, 2025
Certificate Expiration Date
February 20, 2027
Laboratory Director
MS. SARAH RUDKOSKY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Saint Camillus 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.

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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.
1437676475
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
246712712414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 6 + 7 + 1 + 2 + 7 + 1 + 2 + 4 + 1 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1437676475 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 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245546159 ALLISON M DRISKELL
Individual
Counselor2025 BYPASS RD STE 205
BRANDENBURG, KY 40108
(270) 422-3971
1306128319 FELICIA L SCHULTZ
Individual
Counselor2025 BYPASS RD STE 205
BRANDENBURG, KY 40108
(270) 422-3971
1134483795 QUATAVIA SHERTONIA WILKINS LPCA
Individual
Counselor2025 BYPASS RD STE 205
BRANDENBURG, KY 40108
(270) 422-3971
1124452917 BRIANNA DONN HARDY
Individual
Counselor2025 BYPASS RD STE 205
BRANDENBURG, KY 40108
(270) 765-2605
1144654906 TRISHA DANIELE BENDER
Individual
Counselor2025 BYPASS RD STE 205
BRANDENBURG, KY 40108
(270) 765-2605
1013269901 JANE WENDY ALBRECHT
Individual
Social Worker2025 BYPASS RD STE 205
BRANDENBURG, KY 40108
(270) 422-3971
1962848523 VALERIE RENEE CROSSMAN
Individual
Social Worker2025 BYPASS RD STE 205
BRANDENBURG, KY 40108
(270) 422-3971
1295872638COMMUNICARE INC
Organization
Community/Behavioral Health2025 BYPASS RD STE 205
BRANDENBURG, KY 40108
(270) 422-3971
1891345039GRAHAM FAMILY CARE LLC
Organization
Nurse Practitioner (Family)2025 BYPASS RD STE 205
BRANDENBURG, KY 40108
(270) 998-1064

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437676475, enumerated in the NPI registry as an "organization" on August 29, 2017

The provider is located at 2025 Bypass Rd Ste 205 Brandenburg, Ky 40108 and the phone number is (270) 422-4410

This medical organization specializes in Nurse Practitioner with taxonomy code 363L00000X

The provider's CLIA number is 18D2054463 for a "rural health clinic" 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 29, 2017. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.