MIDDLESEX HOSPITAL URGENT CARE
NPI 1093138935
Clinic/Center - Urgent Care in Old Saybrook, CT
NPI Status: Active since January 29, 2014
Contact Information
154 MAIN ST
OLD SAYBROOK, CT
ZIP 06475
Phone: (860) 661-5976
Fax: (860) 358-8664
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 07D0097054
- CLIA Cert. Type: Other - URGENT CARE CTR
- CLIA Exp. Date: 03-30-2027
About MIDDLESEX HOSPITAL URGENT CARE
This page provides the complete NPI Profile along with additional information for Middlesex Hospital Urgent Care, a provider established in Old Saybrook, Connecticut operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1093138935 assigned on January 2014. 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. Middlesex Hospital Urgent Care operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Middlesex Hospital Urgent Care. The authorized official of this NPI record is Susan Martin (Vp Finance)
- NPI
- 1093138935
- Provider Legal Name
- MHS PRIMARY CARE INC
- Other Organization Name
- MIDDLESEX HOSPITAL URGENT CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 154 MAIN ST OLD SAYBROOK, CT 06475
- Location Phone
- (860) 661-5976
- Location Fax
- (860) 358-8664
- Mailing Address
- 28 CRESCENT ST MIDDLESEX HOSPITAL URGENT CARE MIDDLETOWN, CT 06457
- Mailing Phone
- (860) 358-4870
- Mailing Fax
- (860) 358-8664
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-29-2014
- Last Update Date
- 04-07-2022
- Code Navigator
Location Map
Secondary Locations
- 146 Samson Rock Dr Middlesex Hospital Urgent Care Madison
Madison, CT 06443
(203) 779-5207 - 896 Washington St
Middletown, CT 06457
(860) 788-3632
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
- License State
- CT
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 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | (CT) |
| 2 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | (CT) |
| 3 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | (CT) |
| 4 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 5 | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 6 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | (CT) |
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.
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 |
|---|---|---|---|
| 008050108 | MEDICAID (05) | CT | |
| 008061130 | MEDICAID (05) | CT | |
| 008050909 | MEDICAID (05) | CT | |
| 008061268 | MEDICAID (05) | CT |
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
- 07D0097054
- Facility Type
- Other - URGENT CARE CTR
- Certificate Effective Date
- March 31, 2025
- Certificate Expiration Date
- March 30, 2027
- Laboratory Director
- ISRAEL CORDERO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Middlesex Hospital Urgent Care 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 NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1093138935, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093138935, enumerated as an "organization" on January 29, 2014.
The provider is located at 154 MAIN ST OLD SAYBROOK, CT 06475 and the phone number is (860) 661-5976.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
