CONCENTRA URGENT CARE
NPI 1457778870
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Davenport, IA
NPI Status: Active since March 24, 2014
Contact Information
3540 E 46TH ST
DAVENPORT, IA
ZIP 52807
Phone: (563) 359-1170
- Organization
- Program of All-Inclusive Care for the El...
- CLIA Number: 16D0927118
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-09-2027
About CONCENTRA URGENT CARE
This page provides the complete NPI Profile along with additional information for Concentra Urgent Care, a provider established in Davenport, Iowa operating as a Program Of All-inclusive Care For The Elderly (pace) Provider Organization. The healthcare provider is registered in the NPI registry with number 1457778870 assigned on March 2014. The practitioner's primary taxonomy code is 251T00000X with license number 01242 (IA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Concentra Urgent Care. The authorized official of this NPI record is Mrs. Tammy Renee Whitacre (Physical Therapist Assistant)
- NPI
- 1457778870
- Provider Legal Name
- CONCENTRA
- Other Organization Name
- CONCENTRA URGENT CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3540 E 46TH ST DAVENPORT, IA 52807
- Location Phone
- (563) 359-1170
- Mailing Address
- 3540 E 46TH STREET DAVENPORT, IA 52807
- Mailing Phone
- (563) 359-1170
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-24-2014
- Last Update Date
- 03-24-2014
- 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
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
- Taxonomy Code
- 251T00000X
- Type
- Agencies
- License No.
- 01242
- License State
- IA
- Taxonomy Description
- A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
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
- 16D0927118
- Facility Type
- Physician Office
- Certificate Effective Date
- April 10, 2025
- Certificate Expiration Date
- April 09, 2027
- Laboratory Director
- NAOMI CHELLI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Concentra Urgent Care 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 1457778870, 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 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.
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 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
DAVENPORT, IA 52807
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457778870, enumerated as an "organization" on March 24, 2014.
The provider is located at 3540 E 46TH ST DAVENPORT, IA 52807 and the phone number is (563) 359-1170.
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.
