MEDEXPRESS URGENT CARE - INDIANA
NPI 1639441868
Clinic/Center - Urgent Care in Indiana, PA

NPI Status: Active since February 03, 2012

Contact Information

2128 OAKLAND AVE
INDIANA, PA
ZIP 15701
Phone: (724) 349-4362
Fax: (724) 349-5316

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 39D2042805
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-19-2026

About MEDEXPRESS URGENT CARE - INDIANA

This page provides the complete NPI Profile along with additional information for Medexpress Urgent Care - Indiana, a provider established in Indiana, Pennsylvania operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1639441868 assigned on February 2012. 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 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 Medexpress Urgent Care - Indiana. The authorized official of this NPI record is Joy Kimball (Contract Manager)

NPI
1639441868
Provider Legal Name
MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA
Other Organization Name
MEDEXPRESS URGENT CARE - INDIANA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2128 OAKLAND AVE INDIANA, PA 15701
Location Phone
(724) 349-4362
Location Fax
(724) 349-5316
Mailing Address
423 FORTRESS BLVD MORGANTOWN, WV 26508
Mailing Phone
(304) 225-2500
Mailing Fax
(724) 349-5316
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-03-2012
Last Update Date
05-01-2024
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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)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 

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

JOY KIMBALL

Authorized Official Title
CONTRACT MANAGER
Authorized Official Phone
(763) 349-6740

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
39D2042805
Facility Type
Physician Office
Certificate Effective Date
June 20, 2024
Certificate Expiration Date
June 19, 2026
Laboratory Director
DR. DEBRA A. SCHETTINI-PRASKO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Medexpress Urgent Care - Indiana 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 MEDEXPRESS URGENT CARE - INDIANA

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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.
1639441868
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669842812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 8 + 4 + 2 + 8 + 1 + 2 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1639441868 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679034284 BRITTANY D'NEL LINDAHL CRNP
Individual
Nurse Practitioner2128 OAKLAND AVE
INDIANA, PA 15701
(724) 349-4362
1205899432DR. DEBRA ANN SCHETTINI-PRASKO DO
Individual
Family Medicine2128 OAKLAND AVE
INDIANA, PA 15701
(724) 463-1064
1770301822IRMC URGICARE AT INDIANA
Organization
Clinic/Center (Urgent Care)2128 OAKLAND AVE
INDIANA, PA 15701
(724) 349-4362

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639441868, enumerated in the NPI registry as an "organization" on February 03, 2012

The provider is located at 2128 Oakland Ave Indiana, Pa 15701 and the phone number is (724) 349-4362

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

The provider's CLIA number is 39D2042805 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 February 03, 2012. 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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