PATRIOT URGENT CARE
NPI 1891380606
Clinic/Center - Urgent Care in Eldersburg, MD

NPI Status: Active since March 03, 2021

Contact Information

1211 LIBERTY RD
ELDERSBURG, MD
ZIP 21784
Phone: (410) 617-9530

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 21D2213149
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-09-2027

About PATRIOT URGENT CARE

This page provides the complete NPI Profile along with additional information for Patriot Urgent Care, a provider established in Eldersburg, Maryland operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1891380606 assigned on March 2021. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Patriot Urgent Care. The authorized official of this NPI record is Shandi Faulk (Director Of Billing)

NPI
1891380606
Provider Legal Name
STATCARE GROUP LLC
Other Organization Name
PATRIOT URGENT CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1211 LIBERTY RD ELDERSBURG, MD 21784
Location Phone
(410) 617-9530
Mailing Address
1211 LIBERTY RD ELDERSBURG, MD 21784
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-03-2021
Last Update Date
03-03-2021
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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 Urgent Care

Taxonomy Code
261QU0200X
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

SHANDI FAULK

Authorized Official Title
DIRECTOR OF BILLING
Authorized Official Phone
(770) 461-3776

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
21D2213149
Facility Type
Physician Office
Certificate Effective Date
February 10, 2025
Certificate Expiration Date
February 09, 2027
Laboratory Director
AMRA NASIR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Patriot 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.

Reviews for PATRIOT URGENT CARE

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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.
1891380606
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2818168060
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 6 + 8 + 0 + 6 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1891380606 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

CRH MD MANAGEMENT LLC

Clinic/Center

(Urgent Care)

1211 LIBERTY RD
ELDERSBURG, MD
ZIP 21784

(410) 617-9129

CHINEDU OBIEFULE PA-C

Physician Assistant

1211 LIBERTY RD
ELDERSBURG, MD
ZIP 21784

(443) 761-9504

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891380606, enumerated as an "organization" on March 03, 2021.

The provider is located at 1211 LIBERTY RD ELDERSBURG, MD 21784 and the phone number is (410) 617-9530.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.