BAXTER VILLAGE URGENT CARE
NPI 1972590073
Clinic/Center - Urgent Care in Fort Mill, SC

NPI Status: Active since October 04, 2005

Contact Information

502 SIXTH BAXTER CROSSING
FORT MILL, SC
ZIP 29708
Phone: (803) 396-8100
Fax: (803) 396-8040

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 42D0996274
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-31-2026

About BAXTER VILLAGE URGENT CARE

This page provides the complete NPI Profile along with additional information for Baxter Village Urgent Care, a provider established in Fort Mill, South Carolina operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1972590073 assigned on October 2005. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's other name is Baxter Village Urgent Care. The authorized official of this NPI record is Mr. John Holland (Vice President)

NPI
1972590073
Provider Legal Name
PIEDMONT URGENT CARE CENTER AT BAXTER VILLAGE LLC
Other Organization Name
BAXTER VILLAGE URGENT CARE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
502 SIXTH BAXTER CROSSING FORT MILL, SC 29708
Location Phone
(803) 396-8100
Location Fax
(803) 396-8040
Mailing Address
P.O. BOX 741327 ATLANTA, GA 30384
Mailing Phone
(803) 396-8100
Mailing Fax
(803) 396-8040
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2005
Last Update Date
09-17-2010
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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

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

MR. JOHN HOLLAND

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(469) 893-2030

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
7366MEDICARE PIN (08)SC 
GP3889MEDICAID (05)SC 
CK6975MEDICARE PIN (08) 

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
42D0996274
Facility Type
Physician Office
Certificate Effective Date
August 12, 2022
Certificate Expiration Date
May 31, 2026
Laboratory Director
WANDA THOMAS
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Baxter Village Urgent 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 1972590073, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
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 7 → 14 → 5 5 → 10 → 1 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 1 + 0 + 9 + 0 + 0 + 1 + 4 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1972590073.

Other Providers at the Same Location


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

Nurse Practitioner
502 SIXTH BAXTER CROSSING
FORT MILL, SC 29708
Internal Medicine
502 SIXTH BAXTER CROSSING, SUITE A
FORT MILL, SC 29708

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972590073, enumerated as an "organization" on October 04, 2005.

The provider is located at 502 SIXTH BAXTER CROSSING FORT MILL, SC 29708 and the phone number is (803) 396-8100.

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.