WATERFRONT URGENT CARE PLLC
NPI 1902477714
Clinic/Center - Urgent Care in Morgantown, WV

NPI Status: Active since July 02, 2021

Contact Information

215 DON KNOTTS BLVD
MORGANTOWN, WV
ZIP 26501
Phone: (304) 290-0000

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 51D2229651
  • CLIA Cert. Type: Other - URGENT CARE
  • CLIA Exp. Date: 07-14-2025

About WATERFRONT URGENT CARE PLLC

This page provides the complete NPI Profile along with additional information for Waterfront Urgent Care Pllc, a provider established in Morgantown, West Virginia operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1902477714 assigned on July 2021. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Kevin Blankenship Md (Member)

NPI
1902477714
Provider Name
WATERFRONT URGENT CARE PLLC
Entity Type
Organization
Location Address
215 DON KNOTTS BLVD MORGANTOWN, WV 26501
Location Phone
(304) 290-0000
Mailing Address
515 GRAND ST MORGANTOWN, WV 26501
Mailing Phone
(304) 290-0000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-02-2021
Last Update Date
10-11-2021
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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

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

DR. KEVIN BLANKENSHIP MD

Authorized Official Title
MEMBER
Authorized Official Phone
(304) 290-0000

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
51D2229651
Facility Type
Other - URGENT CARE
Certificate Effective Date
July 15, 2023
Certificate Expiration Date
July 14, 2025
Laboratory Director
DR. ERIK S. BUZZARD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Waterfront Urgent Care Pllc 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.
1902477714
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2902871472
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 8 + 7 + 1 + 4 + 7 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1902477714 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 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417956053 LARRY VICTOR STARCHER II MD
Individual
Emergency Medicine215 DON KNOTTS BLVD SUITE 130
MORGANTOWN, WV 26501
(304) 291-3627
1568461077 FRANK W ALDERMAN M.D.
Individual
Emergency Medicine215 DON KNOTTS BLVD SUITE 130
MORGANTOWN, WV 26501
(304) 291-3627
1235138280MEDEXPRESS URGENT CARE PLLC-MORGANTOWN
Organization
Clinic/Center (Urgent Care)215 DON KNOTTS BLVD SUITE 130
MORGANTOWN, WV 26501
(304) 291-3627
1710953922 ROBERT ALAN VERNON PA C
Individual
Physician Assistant215 DON KNOTTS BLVD STE 130
MORGANTOWN, WV 26501
(304) 291-3627
1770749913 PEGGY LEE FERGUSON CRNP
Individual
Nurse Practitioner (Family)215 DON KNOTTS BLVD SUITE 130
MORGANTOWN, WV 26501
(304) 291-3627
1598071250 GRETCHEN M GAROFOLI PHARMD, BCACP
Individual
Pharmacist215 DON KNOTTS BLVD SUITE 120
MORGANTOWN, WV 26501
(304) 225-7979
1750575544 DOUGLAS D WRIGHT PA
Individual
Physician Assistant215 DON KNOTTS BLVD SUITE 130
MORGANTOWN, WV 26501
(304) 291-3627
1457762916 TRACY WOLFE R. PH.
Individual
Pharmacist215 DON KNOTTS BLVD SUITE 120
MORGANTOWN, WV 26501
(304) 225-7979
1528457579MR. KARL WILLIAM SOMMER RPH
Individual
Pharmacist215 DON KNOTTS BLVD SUITE 120
MORGANTOWN, WV 26501
(304) 225-7979
1629099684WATERFRONT FAMILY PHARMACY LLC
Organization
Pharmacy (Community/Retail Pharmacy)215 DON KNOTTS BLVD STE 120
MORGANTOWN, WV 26501
(304) 225-7979
1033663455 SHELLEY CALVERT
Individual
Pharmacist215 DON KNOTTS BLVD SUITE 120
MORGANTOWN, WV 26501
(304) 225-7979
1649757246DR. KELSI HINES PHARMD
Individual
Pharmacist215 DON KNOTTS BLVD
MORGANTOWN, WV 26501
(304) 225-7979
1063990091 RACHEL ANN SNYDER RPH
Individual
Pharmacist215 DON KNOTTS BLVD
MORGANTOWN, WV 26501
(304) 225-7979
1891357562 KATHERINE ELIZABETH VECCHIO RPH
Individual
Pharmacist215 DON KNOTTS BLVD
MORGANTOWN, WV 26501
(304) 225-7979
1962772111MEDEXPRESS URGENT CARE, INC - WEST VIRGINIA
Organization
Clinic/Center (Urgent Care)215 DON KNOTTS BLVD SUITE 130
MORGANTOWN, WV 26501
(304) 291-3627

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902477714, enumerated in the NPI registry as an "organization" on July 02, 2021

The provider is located at 215 Don Knotts Blvd Morgantown, Wv 26501 and the phone number is (304) 290-0000

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

The provider's CLIA number is 51D2229651 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 July 02, 2021. 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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