CONCENTRA URGENT CARE
NPI 1174865695
Clinic/Center - Urgent Care in St. Charles, MO

NPI Status: Active since March 22, 2013

Contact Information

1794 ZUMBEHL ROAD
ST. CHARLES, MO
ZIP 63303
Phone: (636) 947-1666
Fax: (636) 947-4182

Get Directions Write a Review

  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 26D1044084
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-09-2025

About CONCENTRA URGENT CARE

This page provides the complete NPI Profile along with additional information for Concentra Urgent Care, a provider established in St. Charles, Missouri operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1174865695 assigned on March 2013. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Concentra Urgent Care. The authorized official of this NPI record is Dr. William Tom Fogarty M.d. (President)

NPI
1174865695
Provider Legal Name
AMERICAN CURRENT CARE PA
Other Organization Name
CONCENTRA URGENT CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1794 ZUMBEHL ROAD ST. CHARLES, MO 63303
Location Phone
(636) 947-1666
Location Fax
(636) 947-4182
Mailing Address
5080 SPECTRUM DR SUITE 1200 WEST ADDISON, TX 75001
Mailing Phone
(972) 364-8000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-22-2013
Last Update Date
03-22-2013
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

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. WILLIAM TOM FOGARTY M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(972) 364-8000

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
26D1044084
Facility Type
Physician Office
Certificate Effective Date
August 10, 2023
Certificate Expiration Date
August 09, 2025
Laboratory Director
ROBERT LEE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Concentra 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.

Reviews for CONCENTRA URGENT CARE

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1174865695
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2114416610618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 6 + 6 + 1 + 0 + 6 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1174865695 is valid because the calculated check digit 5 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 1174865695, enumerated as an "organization" on March 22, 2013.

The provider is located at 1794 ZUMBEHL ROAD ST. CHARLES, MO 63303 and the phone number is (636) 947-1666.

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