CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST
NPI 1508380452
Clinic/Center - Urgent Care in Philadelphia, PA
NPI Status: Active since August 02, 2017
Contact Information
1930 SOUTH BROAD ST, UNIT 28
PENN URGENT CARE SOUTH PHILADELPHIA
PHILADELPHIA, PA
ZIP 19145
Phone: (215) 419-7500
Fax: (215) 419-7505
- Organization
- Clinic/Center
- Urgent Care
About CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST
Clinical Care Associates Of The University Of Pennsylvania Health Syst is a provider established in Philadelphia, Pennsylvania operating as a Clinic/center with a focus in urgent care . The healthcare provider is registered in the NPI registry with number 1508380452 assigned on August 2017. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Clinical Care Associates Of The University Of Pennsylvania Health Syst operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Chante L Jackson (Enrollment Lead)
- NPI
- 1508380452
- Provider Name
- CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYST
- Entity Type
- Organization
- Location Address
- 1930 SOUTH BROAD ST, UNIT 28 PENN URGENT CARE SOUTH PHILADELPHIA PHILADELPHIA, PA 19145
- Location Phone
- (215) 419-7500
- Location Fax
- (215) 419-7505
- Mailing Address
- 250 KING OF PRUSSIA RD FL 4 RADNOR, PA 19087
- Mailing Phone
- (610) 902-1720
- Mailing Fax
- (215) 419-7505
- Is Sole Proprietor?
- N/A
- Is Organization Subpart?
- No
- Enumeration Date
- 08-02-2017
- Last Update Date
- 06-09-2021
- Code Navigator
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
- License State
- PA
Location Map
Secondary Locations
- 230 W Washington Square, Suite 102 Penn Palliative Care PAH
Philadelphia, PA 19106
(215) 829-3985 - 250 King Of Prussia Rd Fl 4
Radnor, PA 19087
(610) 902-1720 - 240 Middletown Blvd Ste 205
Langhorne, PA 19047
(215) 752-2424
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | (PA) |
| 2 | 207RH0002X | Allopathic & Osteopathic Physicians | Internal Medicine | (PA) |
| 3 | 207RH0002X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207RH0003X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 207ZP0105X | Allopathic & Osteopathic Physicians | Pathology | (PA) |
| 6 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 7 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | (PA) |
| 8 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 9 | 208C00000X | Allopathic & Osteopathic Physicians | Colon & Rectal Surgery | |
| 10 | 213EP1101X | Podiatric Medicine & Surgery Service Providers | Podiatrist | |
| 11 | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Ambetter from Buckeye Health Plan
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Clear Silver + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
Ambetter Health of Delaware
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Everyday Silver - EPO
- Everyday Silver + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 0 | 8 | 3 | 8 | 0 | 4 | 5 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 6 | 8 | 0 | 4 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 6 + 8 + 0 + 4 + 1 + 0 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1508380452 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508380452, enumerated in the NPI registry as an "organization" on August 02, 2017
The provider is located at 1930 South Broad St, Unit 28 Penn Urgent Care South Philadelphia Philadelphia, Pa 19145 and the phone number is (215) 419-7500
This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan and Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 02, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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