PROCARE ODESSA LLC
NPI 1417633736
Clinic/Center - Emergency Care in Odessa, TX

NPI Status: Active since June 22, 2023

Contact Information

6131 TX-191 FRONTAGE
ODESSA, TX
ZIP 79762
Phone: (432) 366-2911
Fax: (432) 366-5416

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  • Organization
  • Clinic/Center
  • Emergency Care
  • CLIA Number: 45D2106794
  • CLIA Cert. Type: Other - FSER
  • CLIA Exp. Date: 12-20-2026

About PROCARE ODESSA LLC

This page provides the complete NPI Profile along with additional information for Procare Odessa Llc, a provider established in Odessa, Texas operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1417633736 assigned on June 2023. The practitioner's primary taxonomy code is 261QE0002X. The provider is registered as an organization and their NPI record was last updated February 2026. The provider's . The authorized official of this NPI record is Rick Harrison (Manager)

NPI
1417633736
Provider Legal Name
PROCARE ODESSA LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
6131 TX-191 FRONTAGE ODESSA, TX 79762
Location Phone
(432) 366-2911
Location Fax
(432) 366-5416
Mailing Address
2703 TELECOM PKWY STE 140A RICHARDSON, TX 75082
Mailing Phone
(469) 436-8100
Mailing Fax
(432) 366-5416
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-22-2023
Last Update Date
02-05-2026
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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 Emergency Care

Taxonomy Code
261QE0002X
Type
Ambulatory Health Care Facilities

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

RICK HARRISON

Authorized Official Title
MANAGER
Authorized Official Phone
(469) 436-8100

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
45D2106794
Facility Type
Other - FSER
Certificate Effective Date
December 21, 2024
Certificate Expiration Date
December 20, 2026
Laboratory Director
DR. IKECHUKWU H. OKORIE
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Procare Odessa Llc 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 1417633736, 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.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
6
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 1 → 2 6 → 12 → 3 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 2 + 7 + 1 + 2 + 3 + 6 + 7 + 6 + 24 = 64

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.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1417633736.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Emergency Medicine
6131 TX-191 FRONTAGE
ODESSA, TX 79762

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417633736, enumerated as an "organization" on June 22, 2023.

The provider is located at 6131 TX-191 FRONTAGE ODESSA, TX 79762 and the phone number is (432) 366-2911.

Clinic/Center with taxonomy code 261QE0002X and a focus in Emergency Care.