ICARE EMERGENCY ROOM
NPI 1396280756
Clinic/Center - Emergency Care in Fort Worth, TX
NPI Status: Active since December 21, 2016
Contact Information
5500 SYCAMORE SCHOOL RD.
STE. 150
FORT WORTH, TX
ZIP 76123
Phone: (214) 407-8668
Fax: (214) 407-8665
- Organization
- Clinic/Center
- Emergency Care
- CLIA Number: 45D2101753
- CLIA Cert. Type: Other - F S E D
- CLIA Exp. Date: 09-28-2026
About ICARE EMERGENCY ROOM
This page provides the complete NPI Profile along with additional information for Icare Emergency Room, a provider established in Fort Worth, Texas operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1396280756 assigned on December 2016. The practitioner's primary taxonomy code is 261QE0002X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Icare Emergency Room. The authorized official of this NPI record is Dr. Shane Cole Md (Ceo)
- NPI
- 1396280756
- Provider Legal Name
- CHISHOLM TRAIL EMERGENCY CENTER
- Other Organization Name
- ICARE EMERGENCY ROOM
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5500 SYCAMORE SCHOOL RD. STE. 150 FORT WORTH, TX 76123
- Location Phone
- (214) 407-8668
- Location Fax
- (214) 407-8665
- Mailing Address
- 5500 SYCAMORE SCHOOL RD. STE. 150 FORT WORTH, TX 76123
- Mailing Phone
- (214) 407-8668
- Mailing Fax
- (214) 407-8665
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-21-2016
- Last Update Date
- 12-21-2016
- 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 Emergency Care
- Taxonomy Code
- 261QE0002X
- Type
- Ambulatory Health Care Facilities
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
- 45D2101753
- Facility Type
- Other - F S E D
- Certificate Effective Date
- September 29, 2024
- Certificate Expiration Date
- September 28, 2026
- Laboratory Director
- SHANE COLE
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Icare Emergency Room on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1396280756, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396280756, enumerated as an "organization" on December 21, 2016.
The provider is located at 5500 SYCAMORE SCHOOL RD. STE. 150 FORT WORTH, TX 76123 and the phone number is (214) 407-8668.
Clinic/Center with taxonomy code 261QE0002X and a focus in Emergency Care.
