ODYSSEY URGENT CARE AND OCCUPATIONAL HEALTH
NPI 1265203160
Clinic/Center - Urgent Care in Kenai, AK

NPI Status: Active since January 10, 2024

Contact Information

ODYSSEY FAMILY PRACTICE LLC
11595 KENAI SPUR HWY
KENAI, AK
ZIP 99611
Phone: (907) 313-4569
Fax: (907) 313-4939

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  • Organization
  • Clinic/Center
  • Urgent Care
  • Accepts Insurance
  • CLIA Number: 02D2317861
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-01-2027

About ODYSSEY URGENT CARE AND OCCUPATIONAL HEALTH

This page provides the complete NPI Profile along with additional information for Odyssey Urgent Care And Occupational Health, a provider established in Kenai, Alaska operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1265203160 assigned on January 2024. 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 authorized official of this NPI record is Mr. Jared L Wallace (Managing Member)

NPI
1265203160
Provider Name
ODYSSEY URGENT CARE AND OCCUPATIONAL HEALTH
Entity Type
Organization
Location Address
ODYSSEY FAMILY PRACTICE LLC 11595 KENAI SPUR HWY KENAI, AK 99611
Location Phone
(907) 313-4569
Location Fax
(907) 313-4939
Mailing Address
ODYSSEY URGENT CARE AND OCCUPATIONAL HEALTH 11595 KENAI SPUR HWY KENAI, AK 99611
Mailing Phone
(907) 313-5432
Mailing Fax
(907) 313-4939
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-10-2024
Last Update Date
06-18-2024
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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

Insurance Plans Accepted

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

  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Texas Bronze HDHP 7500 - EPO
  • Moda Select Texas Standard Bronze - EPO
  • Moda Select Texas Standard Gold - EPO
  • Moda Select Texas Standard Silver - EPO
  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - 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

MR. JARED L WALLACE

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(907) 313-4569

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
02D2317861
Facility Type
Physician Office
Certificate Effective Date
February 02, 2025
Certificate Expiration Date
February 01, 2027
Laboratory Director
JARED WALLACE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Odyssey Urgent Care And Occupational Health 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 1265203160, 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 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
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 2 → 4 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 2 + 5 + 4 + 0 + 6 + 1 + 1 + 2 + 24 = 50

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

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

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1265203160.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265203160, enumerated as an "organization" on January 10, 2024.

The provider is located at ODYSSEY FAMILY PRACTICE LLC 11595 KENAI SPUR HWY KENAI, AK 99611 and the phone number is (907) 313-4569.

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

The provider might be accepting Accepts: Moda Health Plan, Inc. and Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.