FOSSIL CREEK COMPLETE CARE
NPI 1740603422
Clinic/Center - Emergency Care in San Antonio, TX
NPI Status: Active since January 30, 2014
Contact Information
22250 BULVERDE RD
120
SAN ANTONIO, TX
ZIP 78261
Phone: (817) 421-0034
Fax: (817) 421-0036
- Organization
- Clinic/Center
- Emergency Care
- Accepts Insurance
- CLIA Number: 45D2071729
- CLIA Cert. Type: Other - FREESTANDING EMERGENCY DE
- CLIA Exp. Date: 06-24-2027
About FOSSIL CREEK COMPLETE CARE
This page provides the complete NPI Profile along with additional information for Fossil Creek Complete Care, a provider established in San Antonio, Texas operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1740603422 assigned on January 2014. The practitioner's primary taxonomy code is 261QE0002X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Fossil Creek Complete Care. The authorized official of this NPI record is Julie Radley (Coo)
- NPI
- 1740603422
- Provider Legal Name
- 22250 BULVERDE CEC FOSSIL CREEK LLC
- Other Organization Name
- FOSSIL CREEK COMPLETE CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 22250 BULVERDE RD 120 SAN ANTONIO, TX 78261
- Location Phone
- (817) 421-0034
- Location Fax
- (817) 421-0036
- Mailing Address
- PO BOX 93059 SOUTHLAKE, TX 76092
- Mailing Phone
- (817) 421-0034
- Mailing Fax
- (817) 421-0036
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-30-2014
- Last Update Date
- 02-10-2022
- 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 Emergency Care
- Taxonomy Code
- 261QE0002X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 45D2071729
- Facility Type
- Other - FREESTANDING EMERGENCY DE
- Certificate Effective Date
- June 25, 2025
- Certificate Expiration Date
- June 24, 2027
- Laboratory Director
- MALCOLM SOLLEY
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Fossil Creek Complete Care after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that 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 1740603422, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
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 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
SAN ANTONIO, TX 78261
SAN ANTONIO, TX 78261
SAN ANTONIO, TX 78261
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740603422, enumerated as an "organization" on January 30, 2014.
The provider is located at 22250 BULVERDE RD 120 SAN ANTONIO, TX 78261 and the phone number is (817) 421-0034.
Clinic/Center with taxonomy code 261QE0002X and a focus in Emergency Care.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.
