MEDEXPRESS URGENT CARE - SOMERSET TOWNSHIP, N CENTER AVE
NPI 1164766440
Clinic/Center - Urgent Care in Somerset, PA

NPI Status: Active since November 27, 2012

Contact Information

1490 N CENTER AVE
SUITE 100
SOMERSET, PA
ZIP 15501
Phone: (814) 443-4740
Fax: (814) 443-4749

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 39D2102955
  • CLIA Cert. Type: Other - URGENT CARE
  • CLIA Exp. Date: 10-01-2027

About MEDEXPRESS URGENT CARE - SOMERSET TOWNSHIP, N CENTER AVE

This page provides the complete NPI Profile along with additional information for Medexpress Urgent Care - Somerset Township, N Center Ave, a provider established in Somerset, Pennsylvania operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1164766440 assigned on November 2012. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 2 years ago. 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 Medexpress Urgent Care - Somerset Township, N Center Ave. The authorized official of this NPI record is Joy Kimball (Contract Manager)

NPI
1164766440
Provider Legal Name
MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA
Other Organization Name
MEDEXPRESS URGENT CARE - SOMERSET TOWNSHIP, N CENTER AVE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1490 N CENTER AVE SUITE 100 SOMERSET, PA 15501
Location Phone
(814) 443-4740
Location Fax
(814) 443-4749
Mailing Address
423 FORTRESS BLVD MORGANTOWN, WV 26508
Mailing Phone
(304) 225-2500
Mailing Fax
(814) 443-4749
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-27-2012
Last Update Date
05-01-2024
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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)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 

Group Taxonomy 193400000X 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.

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

JOY KIMBALL

Authorized Official Title
CONTRACT MANAGER
Authorized Official Phone
(763) 349-6740

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
39D2102955
Facility Type
Other - URGENT CARE
Certificate Effective Date
October 02, 2025
Certificate Expiration Date
October 01, 2027
Laboratory Director
DR. JOSEPH M. DEVLIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Medexpress Urgent Care - Somerset Township, N Center 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 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 1164766440, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 7 → 14 → 5 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 4 + 6 + 1 + 2 + 4 + 8 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1164766440.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164766440, enumerated as an "organization" on November 27, 2012.

The provider is located at 1490 N CENTER AVE SUITE 100 SOMERSET, PA 15501 and the phone number is (814) 443-4740.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.