MEDEXPRESS URGENT CARE - CONWAY, OAK ST
NPI 1750781654
Clinic/Center - Urgent Care in Conway, AR
NPI Status: Active since August 27, 2014
Contact Information
805 OAK STREET
CONWAY, AR
ZIP 72032
Phone: (501) 504-2329
Fax: (501) 504-2309
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 04D2085953
- CLIA Cert. Type: Other - URGENT CARE
- CLIA Exp. Date: 10-26-2026
About MEDEXPRESS URGENT CARE - CONWAY, OAK ST
This page provides the complete NPI Profile along with additional information for Medexpress Urgent Care - Conway, Oak St, a provider established in Conway, Arkansas operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1750781654 assigned on August 2014. 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 - Conway, Oak St. The authorized official of this NPI record is Joy Kimball (Contract Manager)
- NPI
- 1750781654
- Provider Legal Name
- MEDEXPRESS URGENT CARE ARKANSAS, P.A.
- Other Organization Name
- MEDEXPRESS URGENT CARE - CONWAY, OAK ST
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 805 OAK STREET CONWAY, AR 72032
- Location Phone
- (501) 504-2329
- Location Fax
- (501) 504-2309
- Mailing Address
- 423 FORTRESS BLVD MORGANTOWN, WV 26508
- Mailing Phone
- (304) 225-2500
- Mailing Fax
- (501) 504-2309
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-27-2014
- Last Update Date
- 05-07-2024
- Code Navigator
Location Map
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) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & 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.
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
- 04D2085953
- Facility Type
- Other - URGENT CARE
- Certificate Effective Date
- October 27, 2024
- Certificate Expiration Date
- October 26, 2026
- Laboratory Director
- JENNIFER SHIPMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medexpress Urgent Care - Conway, Oak St 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. | |||||||||
| 1 | 7 | 5 | 0 | 7 | 8 | 1 | 6 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 14 | 8 | 2 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 4 + 8 + 2 + 6 + 1 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1750781654 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1801939558 | DR. NELDA FAYE NEW PHD, APRN, FNP Individual | Nurse Practitioner | 805 OAK STREET CONWAY, AR 72032 (501) 504-2329 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750781654, enumerated in the NPI registry as an "organization" on August 27, 2014
The provider is located at 805 Oak Street Conway, Ar 72032 and the phone number is (501) 504-2329
This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care
The provider's CLIA number is 04D2085953 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 August 27, 2014. 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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