355 MDG
NPI 1245210384
Clinic/center, Military And U.s. Coast Guard Ambulatory Procedure in Tucson,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 17, 2006

Contact Information

4175 S Alamo Ave
Tucson,
Post Code: 85707
Phone: (520) 228-1506
Fax: (520) 228-0183

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355 Mdg in Tucson - Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure

355 Mdg is a Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure in Tucson, . 355 Mdg practices all healthcare services and medical treatments related to Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure. The NPI Number for 355 Mdg is 1245210384. The last update date is 2010-11-15.

355 Mdg's current location address is 4175 S Alamo Ave, Tucson, . You can contact this provider via phone number (520) 228-1506 and fax number (520) 228-0183. The mailing address for 355 Mdg is 4175 S Alamo Ave, Tucson, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1245210384
Provider Legal Name
355 MDG
Other Organization Name
355 MDG
Other Name Type
-
Entity Type
Organization
Location Address
4175 S Alamo Ave, Tucson,
Location Phone
(520) 228-1506
Location Fax
(520) 228-0183
Mailing Address
4175 S Alamo Ave, Tucson, Arizona(AZ)
Mailing Phone
520-228-1506
Mailing Fax
520-228-0183
Enumeration Date
2006-01-17
Last Update Date
2010-11-15
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

Clinic/Center, MilitaryU.S. Coast Guard Outpatient

Taxonomy Code
261QM1100X
Type
-
License No.
-
License State
-
Taxonomy Description
-

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)
1 261QM1101X Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center

Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure

()
2 332000000X Military/U.S. Coast Guard Pharmacy

MilitaryU.S. Coast Guard Pharmacy

()

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
0322103 Other (non-Medicare) (01) Arizona (AZ) NCPDP

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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.
1245210384
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285410316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2285410316
2 + 2 + 8 + 5 + 4 + 1 + 0 + 3 + 1 + 6 + 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 1245210384 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
1164425104 ANGELA L JANSSEN
Individual
Physical Therapist PO BOX 32490
PHOENIX, Arizona (AZ)
602-230-4478
1154324150 MARISA LYNN ROWEN
Individual
Pharmacist 839 W CONGRESS ST
TUCSON, Arizona (AZ)
520-670-3805
1154324283 DREXEL HEIGHTS FIRE DISTRICT
Organization
Ambulance, Land Transport 5030 S CAMINO VERDE
TUCSON, Arizona (AZ)
520-883-4341
1023011269 BENIGNO F DECENA
Individual
Internal Medicine, Cardiovascular Disease 4729 E CAMP LOWELL DR
TUCSON, Arizona (AZ)
520-838-3540
1013910157 COLEMAN WADE DAVIDSON
Individual
Obstetrics & Gynecology PO BOX 31235
TUCSON, Arizona (AZ)
520-324-4100