MEDEXPRESS URGENT CARE - TULSA, S YALE AVE
NPI 1710371448
Clinic/Center - Urgent Care in Tulsa, OK

NPI Status: Active since March 19, 2015

Contact Information

2140 S YALE AVENUE
TULSA, OK
ZIP 74114
Phone: (918) 712-9342
Fax: (918) 712-9386

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 37D2095520
  • CLIA Cert. Type: Other - URGENT CARE
  • CLIA Exp. Date: 05-06-2027

About MEDEXPRESS URGENT CARE - TULSA, S YALE AVE

This page provides the complete NPI Profile along with additional information for Medexpress Urgent Care - Tulsa, S Yale Ave, a provider established in Tulsa, Oklahoma operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1710371448 assigned on March 2015. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 9 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 Medexpress Urgent Care - Tulsa, S Yale Ave. The authorized official of this NPI record is Mr. Tim Bugin (Vp Payor Contracting)

NPI
1710371448
Provider Legal Name
MEDEXPRESS URGENT CARE, PC - OKLAHOMA
Other Organization Name
MEDEXPRESS URGENT CARE - TULSA, S YALE AVE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2140 S YALE AVENUE TULSA, OK 74114
Location Phone
(918) 712-9342
Location Fax
(918) 712-9386
Mailing Address
1001 CONSOL ENERGY DR CANONSBURG, PA 15317
Mailing Phone
(304) 225-2500
Mailing Fax
(918) 712-9386
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-19-2015
Last Update Date
09-14-2016
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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)
1207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

 

Group Taxonomy 193400000X MULTIPLE 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.

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

MR. TIM BUGIN

Authorized Official Title
VP PAYOR CONTRACTING
Authorized Official Phone
(304) 225-2500

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
200568600BMEDICAID (05)OK 
7340460002MEDICARE NSC (07)OK 
410877MEDICARE PIN (08)OK 

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
37D2095520
Facility Type
Other - URGENT CARE
Certificate Effective Date
May 07, 2025
Certificate Expiration Date
May 06, 2027
Laboratory Director
GORDON SCOTT JONES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Medexpress Urgent Care - Tulsa, S Yale Ave 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.
1710371448
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
272067248
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 7 + 2 + 4 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1710371448 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710371448, enumerated in the NPI registry as an "organization" on March 19, 2015

The provider is located at 2140 S Yale Avenue Tulsa, Ok 74114 and the phone number is (918) 712-9342

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

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

The provider's CLIA number is 37D2095520 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 March 19, 2015. 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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