VINE URGENT CARE PLLC
NPI 1336746080
Clinic/Center - Urgent Care in Fort Worth, TX
NPI Status: Active since October 06, 2020
Contact Information
1661 EASTCHASE PKWY
FORT WORTH, TX
ZIP 76120
Phone: (682) 250-5700
Fax: (682) 250-5705
- Organization
- Clinic/Center
- Urgent Care
- Accepts Insurance
- CLIA Number: 45D2217263
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-18-2027
About VINE URGENT CARE PLLC
This page provides the complete NPI Profile along with additional information for Vine Urgent Care Pllc, a provider established in Fort Worth, Texas operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1336746080 assigned on October 2020. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Ehab Hanna Md (Sole Mbr)
- NPI
- 1336746080
- Provider Name
- VINE URGENT CARE PLLC
- Entity Type
- Organization
- Location Address
- 1661 EASTCHASE PKWY FORT WORTH, TX 76120
- Location Phone
- (682) 250-5700
- Location Fax
- (682) 250-5705
- Mailing Address
- 6251 OAKMONT BLVD FORT WORTH, TX 76132
- Mailing Phone
- (682) 250-5700
- Mailing Fax
- (682) 250-5705
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-06-2020
- Last Update Date
- 10-06-2020
- Code Navigator
Location Map
Secondary Locations
- 921 E Fm 1187 Ste A
Crowley, TX 76036
(817) 945-1682 - 6251 Oakmont Blvd
Fort Worth, TX 76132
(682) 250-5700
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 - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear VALUE Silver - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Complete VALUE Gold - HMO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Complete VALUE Gold - HMO
- Complete VALUE Silver - HMO
- Elite VALUE Bronze - HMO
- Focused VALUE Silver - HMO
- Standard Expanded Bronze VALUE - HMO
- Standard Gold VALUE - HMO
- Standard Silver VALUE - HMO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 45D2217263
- Facility Type
- Physician Office
- Certificate Effective Date
- March 19, 2025
- Certificate Expiration Date
- March 18, 2027
- Laboratory Director
- EHAB I. HANNA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Vine Urgent Care Pllc 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 VINE URGENT CARE PLLC
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. | |||||||||
| 1 | 3 | 3 | 6 | 7 | 4 | 6 | 0 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 14 | 4 | 12 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 1 + 4 + 4 + 1 + 2 + 0 + 1 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1336746080 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
MS. SARAH THOMPSON PA-C
Physician Assistant
(Medical)
1661 EASTCHASE PKWY
FORT WORTH, TX
ZIP 76120
DR. ELLEN DAHL
Family Medicine
1661 EASTCHASE PKWY
FORT WORTH, TX
ZIP 76120
JOYCE BOTCHEY-NIIQUAYE FNP
Nurse Practitioner
(Family)
1661 EASTCHASE PKWY
FORT WORTH, TX
ZIP 76120
TIMMY NOVAK
Physician Assistant
1661 EASTCHASE PKWY
FORT WORTH, TX
ZIP 76120
CHI NGUYEN BENSON MD
Family Medicine
1661 EASTCHASE PKWY
FORT WORTH, TX
ZIP 76120
EVERARDO CHRISTIAN SILVA PA-C
Physician Assistant
1661 EASTCHASE PKWY
FORT WORTH, TX
ZIP 76120
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336746080, enumerated as an "organization" on October 06, 2020.
The provider is located at 1661 EASTCHASE PKWY FORT WORTH, TX 76120 and the phone number is (682) 250-5700.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.
