COVENANT MEDICAL GROUP URGENT CARE
NPI 1417381187
Clinic/Center - Urgent Care in Lubbock, TX
NPI Status: Active since August 29, 2013
Contact Information
1910 QUAKER AVENUE
SUITE 101
LUBBOCK, TX
ZIP 79407
Phone: (806) 725-4440
Fax: (806) 725-4441
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 45D0714070
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 02-08-2027
About COVENANT MEDICAL GROUP URGENT CARE
This page provides the complete NPI Profile along with additional information for Covenant Medical Group Urgent Care, a provider established in Lubbock, Texas operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1417381187 assigned on August 2013. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Covenant Medical Group Urgent Care. The authorized official of this NPI record is Kristen Kothmann (Vice President/coo)
- NPI
- 1417381187
- Provider Legal Name
- COVENANT MEDICAL GROUP
- Other Organization Name
- COVENANT MEDICAL GROUP URGENT CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1910 QUAKER AVENUE SUITE 101 LUBBOCK, TX 79407
- Location Phone
- (806) 725-4440
- Location Fax
- (806) 725-4441
- Mailing Address
- 3420 22ND PL LUBBOCK, TX 79410
- Mailing Phone
- (806) 725-7800
- Mailing Fax
- (806) 725-4441
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-29-2013
- Last Update Date
- 08-29-2013
- 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
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
- 45D0714070
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- February 09, 2025
- Certificate Expiration Date
- February 08, 2027
- Laboratory Director
- DR. JACK SHANNON
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Covenant Medical Group Urgent Care 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 1417381187, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417381187, enumerated as an "organization" on August 29, 2013.
The provider is located at 1910 QUAKER AVENUE SUITE 101 LUBBOCK, TX 79407 and the phone number is (806) 725-4440.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
