BROKEN ARROW URGENT CARE
NPI 1205190501
Clinic/Center - Urgent Care in Broken Arrow, OK

NPI Status: Active since July 02, 2012

Contact Information

1130 E LANSING ST
BROKEN ARROW, OK
ZIP 74012
Phone: (918) 258-9990
Fax: (918) 994-4277

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  • Organization
  • Clinic/Center
  • Urgent Care
  • Accepts Insurance
  • CLIA Number: 37D2043184
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-27-2026

About BROKEN ARROW URGENT CARE

This page provides the complete NPI Profile along with additional information for Broken Arrow Urgent Care, a provider established in Broken Arrow, Oklahoma operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1205190501 assigned on July 2012. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Broken Arrow Urgent Care. The authorized official of this NPI record is Richard Ferguson (Ceo)

NPI
1205190501
Provider Legal Name
NORTHEAST OKLAHOMA PHYSICIAN NETWORK INC
Other Organization Name
BROKEN ARROW URGENT CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1130 E LANSING ST BROKEN ARROW, OK 74012
Location Phone
(918) 258-9990
Location Fax
(918) 994-4277
Mailing Address
2408 E 81ST ST STE 300 TULSA, OK 74137
Mailing Phone
(918) 477-5049
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-02-2012
Last Update Date
07-02-2012
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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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoice) + Vision + Adult Dental - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Blue Advantage Bronze PPO? 202 - PPO
  • Blue Advantage Bronze PPO? 203 - PPO
  • Blue Advantage Bronze PPO? Standard - PPO
  • Blue Advantage Gold PPO? 309 - PPO
  • Blue Advantage Gold PPO? 604 - PPO
  • Blue Advantage Gold PPO? Standard - PPO
  • Blue Advantage Silver PPO? 204 - PPO
  • Blue Advantage Silver PPO? 501 - PPO
  • Blue Advantage Silver PPO? Standard - PPO
  • Blue Preferred Bronze PPO? Standard - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

RICHARD FERGUSON

Authorized Official Title
CEO
Authorized Official Phone
(918) 477-5049

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
37D2043184
Facility Type
Physician Office
Certificate Effective Date
June 28, 2024
Certificate Expiration Date
June 27, 2026
Laboratory Director
JAY T. GEARY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Broken Arrow 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 1205190501, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
1
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 0 → 0 1 → 2 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 0 + 5 + 2 + 9 + 0 + 5 + 0 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1205190501.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Family Medicine
1130 E LANSING ST
BROKEN ARROW, OK 74012
Family Medicine
1130 E LANSING ST
BROKEN ARROW, OK 74012
Family Medicine
1130 E LANSING ST
BROKEN ARROW, OK 74012
Family Medicine
1130 E LANSING ST
BROKEN ARROW, OK 74012
Nurse Practitioner (Family)
1130 E LANSING ST
BROKEN ARROW, OK 74012
Nurse Practitioner (Family)
1130 E LANSING ST
BROKEN ARROW, OK 74012
Nurse Practitioner (Family)
1130 E LANSING ST
BROKEN ARROW, OK 74012

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205190501, enumerated as an "organization" on July 02, 2012.

The provider is located at 1130 E LANSING ST BROKEN ARROW, OK 74012 and the phone number is (918) 258-9990.

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

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.