URGENTCHOICE CARE LLC
NPI 1508636945
Clinic/Center - Urgent Care in Kokomo, IN

NPI Status: Active since January 08, 2024

Contact Information

2004 W SYCAMORE ST
KOKOMO, IN
ZIP 46901
Phone: (765) 865-0135
Fax: (765) 224-0806

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  • Organization
  • Clinic/Center
  • Urgent Care
  • Accepts Insurance
  • CLIA Number: 15D2299886
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 02-27-2026

About URGENTCHOICE CARE LLC

This page provides the complete NPI Profile along with additional information for Urgentchoice Care Llc, a provider established in Kokomo, Indiana operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1508636945 assigned on January 2024. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Renee Marie Goodrich (Owner)

NPI
1508636945
Provider Name
URGENTCHOICE CARE LLC
Entity Type
Organization
Location Address
2004 W SYCAMORE ST KOKOMO, IN 46901
Location Phone
(765) 865-0135
Location Fax
(765) 224-0806
Mailing Address
2004 W SYCAMORE ST KOKOMO, IN 46901
Mailing Phone
(765) 865-0135
Mailing Fax
(765) 224-0806
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-08-2024
Last Update Date
01-29-2025
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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

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)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 9200 $25 Generic Drugs - HMO
  • Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

RENEE MARIE GOODRICH

Authorized Official Title
OWNER
Authorized Official Phone
(765) 865-0135

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
15D2299886
Facility Type
Practitioner Other
Certificate Effective Date
February 28, 2024
Certificate Expiration Date
February 27, 2026
Laboratory Director
RENEE M. GOODRICH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Urgentchoice Care 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 URGENTCHOICE CARE 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.
1508636945
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25081231298
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 1 + 2 + 3 + 1 + 2 + 9 + 8 + 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 1508636945 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124750815 RENEE MARIE GOODRICH NURSE PRACTITIONER
Individual
Nurse Practitioner (Family)2004 W SYCAMORE ST
KOKOMO, IN 46901
(765) 865-0135
1740904358MRS. JESSICA ANN ARDI FNP
Individual
Nurse Practitioner (Family)2004 W SYCAMORE ST
KOKOMO, IN 46901
(765) 865-0135

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508636945, enumerated in the NPI registry as an "organization" on January 08, 2024

The provider is located at 2004 W Sycamore St Kokomo, In 46901 and the phone number is (765) 865-0135

This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 15D2299886 for a "practitioner other" 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 January 08, 2024. 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.