MEDEXPRESS URGENT CARE - MOUNTAIN HOME, HIGHWAY 62 E
NPI 1922488014
Clinic/Center - Urgent Care in Mountain Home, AR

NPI Status: Active since June 03, 2015

Contact Information

305 HIGHWAY 62 E
MOUNTAIN HOME, AR
ZIP 72653
Phone: (870) 425-0176
Fax: (870) 425-0196

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 04D2102862
  • CLIA Cert. Type: Other - URGENT CARE
  • CLIA Exp. Date: 09-29-2027

About MEDEXPRESS URGENT CARE - MOUNTAIN HOME, HIGHWAY 62 E

This page provides the complete NPI Profile along with additional information for Medexpress Urgent Care - Mountain Home, Highway 62 E, a provider established in Mountain Home, Arkansas operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1922488014 assigned on June 2015. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Medexpress Urgent Care - Mountain Home, Highway 62 E. The authorized official of this NPI record is Joy Kimball (Contract Manager)

NPI
1922488014
Provider Legal Name
MEDEXPRESS URGENT CARE ARKANSAS, P.A.
Other Organization Name
MEDEXPRESS URGENT CARE - MOUNTAIN HOME, HIGHWAY 62 E
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
305 HIGHWAY 62 E MOUNTAIN HOME, AR 72653
Location Phone
(870) 425-0176
Location Fax
(870) 425-0196
Mailing Address
423 FORTRESS BLVD MORGANTOWN, WV 26508
Mailing Phone
(304) 225-2500
Mailing Fax
(870) 425-0196
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-03-2015
Last Update Date
05-07-2024
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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 Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

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)
1207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

 
2208D00000XAllopathic & Osteopathic Physicians

General Practice

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JOY KIMBALL

Authorized Official Title
CONTRACT MANAGER
Authorized Official Phone
(763) 349-6740

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
211558002MEDICAID (05)AR 

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
04D2102862
Facility Type
Other - URGENT CARE
Certificate Effective Date
September 30, 2025
Certificate Expiration Date
September 29, 2027
Laboratory Director
JENNIFER SHIPMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Medexpress Urgent Care - Mountain Home, Highway 62 E 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 MEDEXPRESS URGENT CARE - MOUNTAIN HOME, HIGHWAY 62 E

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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 1922488014, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
2
Doubled → 4
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 2 → 4 4 → 8 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 4 + 2 + 8 + 8 + 1 + 6 + 0 + 2 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1922488014.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922488014, enumerated as an "organization" on June 03, 2015.

The provider is located at 305 HIGHWAY 62 E MOUNTAIN HOME, AR 72653 and the phone number is (870) 425-0176.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.