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CONCENTRA URGENT CARE
NPI 1457778870
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Davenport, IA

Active since March 24, 2014CLIA 16D0927118 · Waiver
3540 E 46TH ST, DAVENPORT, IA 52807(563) 359-1170 Get Directions Write a Review

NPPES record last updated: March 24, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Concentra Urgent Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONCENTRA URGENT CARE (NPI 1457778870) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Davenport, Iowa and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through April 9, 2027 and lists Tammy Renee Whitacre, Physical Therapist Assistant, as its authorized official.

NPPES Registry Identity

NPI1457778870
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameCONCENTRA
Location Address3540 E 46TH STDavenport, IA 52807
Mailing Address3540 E 46th StreetDavenport, IA 52807 · (563) 359-1170
Phone(563) 359-1170
Organization SubpartYes
Authorized OfficialTammy Renee WhitacrePhysical Therapist Assistant · (563) 571-1104
Enumeration DateMarch 24, 2014
✔ NPI 1457778870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies
Taxonomy Code251T00000X
License✔ Licensed in IA · 01242
Definition
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.
3540 E 46TH ST, Davenport, IA 52807
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Other Names 1

Doing Business AsConcentra Urgent Care

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D0927118

Concentra Urgent Care - Davenport · Davenport, IA
Active · expires Apr 9, 2027
CLIA Number16D0927118
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorNaomi Chelli
Laboratory Phone(563) 359-1170
Laboratory LocationConcentra Urgent Care - Davenport3540 East 46th Street, Davenport, IA 52807
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRINITY MEDICAL CENTER
Family Medicine
3540 E 46TH ST
DAVENPORT, IA 52807
Scott County (563) 742-5900
SARAH NEDVED P.T.
Physical Therapist
3540 E 46TH ST
DAVENPORT, IA 52807
Scott County (563) 742-5900
TAMMY WHITACRE
Specialist
3540 E 46TH ST
DAVENPORT, IA 52807
Scott County (563) 359-3828
MRS. KARI ELIZABETH WIESE OT
Occupational Therapist
3540 E 46TH ST
DAVENPORT, IA 52807
Scott County (563) 742-5900
JOSHUA D GOSNELL P.T.
Physical Therapist
3540 E 46TH ST
DAVENPORT, IA 52807
Scott County (563) 742-5900
BRIANNE KELLER PT, DPT
Physical Therapist
3540 E 46TH ST
DAVENPORT, IA 52807
Scott County (563) 359-1170
JENNIFER MEJIA PT
Physical Therapist
3540 E 46TH ST
DAVENPORT, IA 52807
Scott County (563) 742-5900
DR. NAOMI CHELLI M.D
Family Medicine
3540 E 46TH ST, CONCENTRA
DAVENPORT, IA 52807
Scott County (563) 359-1170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Concentra's NPI number?

The NPI number for Concentra is 1457778870. It was assigned to this organization in the NPPES registry on March 24, 2014. The provider is doing business as Concentra Urgent Care.

Where is Concentra located?

Concentra is located at 3540 E 46th St, Davenport, IA 52807. The listed phone number is (563) 359-1170.

What is Concentra's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Does Concentra hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D0927118) is associated with this NPI, valid through April 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Concentra was last updated on March 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.