ALVIN JACKSON SECREST MD
NPI 1053314864
Family Medicine in Cottonwood,


Quality Rating: 100 out of 100 score

NPI Status: Active since May 24, 2005

Contact Information

701 Lewiston St
Cottonwood,
Post Code: 83522
Phone: (208) 962-3267
Fax: (208) 962-2313

Get Directions Be the first to review

Alvin Jackson Secrest Md in Cottonwood - Family Medicine

Alvin Jackson Secrest Md is a Family Medicine in Cottonwood, . Alvin Jackson Secrest Md practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Alvin Jackson Secrest Md is 1053314864. The last update date is 2021-08-11.

Alvin Jackson Secrest Md's current location address is 701 Lewiston St, Cottonwood, . You can contact this provider via phone number (208) 962-3267 and fax number (208) 962-2313. The mailing address for Alvin Jackson Secrest Md is 701 Lewiston St, Cottonwood, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1053314864
Provider Name
ALVIN JACKSON SECREST MD
Gender
Male
Entity Type
Individual
Location Address
701 Lewiston St, Cottonwood,
Location Phone
(208) 962-3267
Location Fax
(208) 962-2313
Mailing Address
Po Box 565, Cottonwood, Idaho(ID)
Mailing Phone
208-962-3267
Mailing Fax
208-962-2313
Enumeration Date
2005-05-24
Last Update Date
2021-08-11
Code Navigator

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

Family Medicine

Taxonomy Code
207Q00000X
Type
-
License No.
M6256
License State
Idaho (ID)
Taxonomy Description
-

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
002284400 MEDICAID (05) Idaho (ID)

Reviews for ALVIN JACKSON SECREST MD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1053314864
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20103618812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20103618812
2 + 0 + 1 + 0 + 3 + 6 + 1 + 8 + 8 + 1 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 4 4

The NPI number 1053314864 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003819509 JULIA MARIE JENSEN
Individual
Family Medicine 211 16TH AVE N
NAMPA, Idaho (ID)
208-467-4431
1003819459 MARK J BOERNER
Individual
Ophthalmology 111 W MAIN ST STE 200
BOISE, Idaho (ID)
208-344-3220
1013910371 JAMES E PIERCE
Individual
Dentist 939 BRYDEN AVE
LEWISTON, Idaho (ID)
208-746-0204
1013912385 BETSY DALE POOT POOT
Individual
Nurse Practitioner, Psych/Mental Health 1286 W LEISURE DR
HAYDEN, Idaho (ID)
360-421-2520
1043215437 SHOSHONE MEDICAL CENTER
WEST SHOSHONE HOSPITAL DISTRICT
Organization
General Acute Care Hospital, Critical Access 25 JACOBS GULCH RD
KELLOGG, Idaho (ID)
208-784-7017