FASTMED URGENT CARE OF GREENVILLE
NPI 1659707735
Non-Pharmacy Dispensing Site in Greenville, NC

NPI Status: Active since September 19, 2013

Contact Information

315 GREENVILLE BLVD SE
GREENVILLE, NC
ZIP 27858
Phone: (919) 550-0821

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  • Organization
  • Non-Pharmacy Dispensing Site
  • CLIA Number: 34D2290411
  • CLIA Cert. Type: Other - URGENT CARE
  • CLIA Exp. Date: 09-25-2025

About FASTMED URGENT CARE OF GREENVILLE

This page provides the complete NPI Profile along with additional information for Fastmed Urgent Care Of Greenville, a provider established in Greenville, North Carolina operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1659707735 assigned on September 2013. The practitioner's primary taxonomy code is 332900000X with license number 0010-00698 (NC). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Fastmed Urgent Care Of Greenville. The authorized official of this NPI record is Kenny Heine (Vp Of Operations)

NPI
1659707735
Provider Legal Name
URGENT CARES OF AMERICA NORTH CAROLINA INC
Other Organization Name
FASTMED URGENT CARE OF GREENVILLE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
315 GREENVILLE BLVD SE GREENVILLE, NC 27858
Location Phone
(919) 550-0821
Mailing Address
5626 OBERLIN DR SUITE 110 SAN DIEGO, CA 92121
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-19-2013
Last Update Date
09-25-2014
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
0010-00698
License State
NC
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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

KENNY HEINE

Authorized Official Title
VP OF OPERATIONS
Authorized Official Phone
(858) 964-1506

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
34D2290411
Facility Type
Other - URGENT CARE
Certificate Effective Date
September 26, 2023
Certificate Expiration Date
September 25, 2025
Laboratory Director
DR. KIMBERLY ROUSE SMITH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fastmed Urgent Care Of Greenville 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.
1659707735
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261091401476
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 1 + 4 + 0 + 1 + 4 + 7 + 6 + 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 1659707735 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396103842 STEPHANIE SWINSON MCCLAIN FNP
Individual
Nurse Practitioner (Family)315 GREENVILLE BLVD SE SUITE 100
GREENVILLE, NC 27858
(252) 917-5621

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659707735, enumerated in the NPI registry as an "organization" on September 19, 2013

The provider is located at 315 Greenville Blvd Se Greenville, Nc 27858 and the phone number is (919) 550-0821

This medical organization specializes in Non-Pharmacy Dispensing Site with taxonomy code 332900000X

The provider's CLIA number is 34D2290411 for a "other - urgent care" 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 19, 2013. 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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