BOONES CREEK URGENT CARE
NPI 1609158120
Clinic/Center - Urgent Care in Erwin, TN

NPI Status: Active since September 10, 2011

Contact Information

800 S MOHAWK DR
SUITE E
ERWIN, TN
ZIP 37650
Phone: (423) 735-0500
Fax: (423) 735-0499

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  • Organization
  • Clinic/Center
  • Urgent Care
  • Accepts Insurance
  • CLIA Number: 44D2067590
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-17-2025

About BOONES CREEK URGENT CARE

This page provides the complete NPI Profile along with additional information for Boones Creek Urgent Care, a provider established in Erwin, Tennessee operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1609158120 assigned on September 2011. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Boones Creek Urgent Care. The authorized official of this NPI record is Harold Lance Debord Pa-c (Managing Member)

NPI
1609158120
Provider Legal Name
URGENT CARE OF ERWIN, LLC
Other Organization Name
BOONES CREEK URGENT CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
800 S MOHAWK DR SUITE E ERWIN, TN 37650
Location Phone
(423) 735-0500
Location Fax
(423) 735-0499
Mailing Address
800 S MOHAWK DR SUITE E ERWIN, TN 37650
Mailing Phone
(423) 330-6177
Mailing Fax
(423) 735-0499
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-10-2011
Last Update Date
05-21-2020
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Location Map

Secondary Locations

  • 4100 N Roan St Ste 3
    Johnson City, TN 37601
    (423) 268-2606

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
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

*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

HAROLD LANCE DEBORD PA-C

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(276) 685-6492

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
44D2067590
Facility Type
Physician Office
Certificate Effective Date
October 18, 2023
Certificate Expiration Date
October 17, 2025
Laboratory Director
ROBERT LAWSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Boones Creek 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 BOONES CREEK 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.
1609158120
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609251614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 2 + 5 + 1 + 6 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1609158120 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265768188ASSOCIATED THERAPY SERVICES OF UNICOI COUNTY
Organization
Clinic/Center (Physical Therapy)800 S MOHAWK DR
ERWIN, TN 37650
(423) 743-1245
1447586201 CHAD EVERT CAPPS P.T.
Individual
Physical Therapist800 S MOHAWK DR SUITE D
ERWIN, TN 37650
(423) 743-1245
1487911871MR. CHRISTOPHER PHILLIPS PT
Individual
Physical Therapist800 S MOHAWK DR SUITE D
ERWIN, TN 37650
(423) 743-1245
1902163397MRS. CANDACE SIMERLY PT
Individual
Physical Therapist800 S MOHAWK DR SUITE D
ERWIN, TN 37650
(423) 743-1245
1316205487MR. MARK PETERSON PT
Individual
Physical Therapist800 S MOHAWK DR SUITE D
ERWIN, TN 37650
(423) 743-1245
1932169562 ROBERT W LAWSON MD
Individual
Emergency Medicine800 S MOHAWK DR SUITE E
ERWIN, TN 37650
(423) 330-6177
1205253770BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Organization
Internal Medicine (Cardiovascular Disease)800 S MOHAWK DR SUITE C
ERWIN, TN 37650
(423) 979-6000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609158120, enumerated in the NPI registry as an "organization" on September 10, 2011

The provider is located at 800 S Mohawk Dr Suite E Erwin, Tn 37650 and the phone number is (423) 735-0500

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 44D2067590 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 September 10, 2011. 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.