Organization provider

EXPRESS CARE CLINIC LLC

Primary Care Clinic/Center Urgent Care Clinic/Center Geriatric Medicine (Family Medicine) Physician Medicare enrolled

EXPRESS CARE CLINIC LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104247865, based in Longwood, FL. The organization lists 6 taxonomy classifications, with Primary Care Clinic/Center recorded as primary.

Getting there

The practice address on file is 2650 W STATE ROAD 434, Longwood, FL 32779. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2650 W STATE ROAD 434, Longwood, FL 32779 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
1153541792

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Primary Care covers

Definition to come... NUCC Health Care Provider Taxonomy, code 261QP2300X
Ambulatory Health Care Facilities Clinic/Center Primary Care

All registered taxonomy codes

This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
261QP2300X Primary Care Clinic/Center Primary Care FL primary
261QU0200X Urgent Care Clinic/Center Urgent Care
207QG0300X Geriatric Medicine (Family Medicine) Physician Geriatric Medicine
2083S0010X Sports Medicine (Preventive Medicine) Physician Sports Medicine
207PS0010X Sports Medicine (Emergency Medicine) Physician Sports Medicine
261QR0200X Radiology Clinic/Center Radiology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1104247865 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateDec 26, 2013
Last updatedOct 3, 2014
StatusActive
Practice address 2650 W STATE ROAD 434
Longwood, FL 32779
(407) 475-3366
Fax (407) 475-3367
Mailing address 2650 STATE ROAD 434
Longwood, FL 32779
This record was last updated on Oct 3, 2014, roughly 11 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1104247865 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 2 4 7 8 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 4 4 5 8 3

Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104247865?
NPI 1104247865 is the National Provider Identifier assigned to EXPRESS CARE CLINIC LLC in Longwood, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Primary Care cover?
Definition to come...
How do I contact EXPRESS CARE CLINIC LLC?
The phone number on file with NPPES is (407) 475-3366, last updated Oct 3, 2014. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does EXPRESS CARE CLINIC LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104247865 a valid number?
Yes. 1104247865 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.