59 MDW ADBS
NPI 1275511776
Clinic/center, Militaryu.s. Coast Guard Outpatient in Lackland A F B,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 4, 2006

Contact Information

2200 Bergquist Dr
Lackland A F B,
Post Code: 78236
Phone: (210) 292-7575
Fax: (210) 292-2592

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59 Mdw Adbs in Lackland A F B - Clinic/Center, MilitaryU.S. Coast Guard Outpatient

59 Mdw Adbs is a Clinic/Center, MilitaryU.S. Coast Guard Outpatient in Lackland A F B, . 59 Mdw Adbs practices all healthcare services and medical treatments related to Clinic/Center, MilitaryU.S. Coast Guard Outpatient. The NPI Number for 59 Mdw Adbs is 1275511776. The last update date is 2015-01-13.

59 Mdw Adbs's current location address is 2200 Bergquist Dr, Lackland A F B, . You can contact this provider via phone number (210) 292-7575 and fax number (210) 292-2592. The mailing address for 59 Mdw Adbs is 2200 Bergquist Dr, Lackland A F B, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1275511776
Provider Legal Name
WILFORD HALL MEDICAL CENTER
Other Organization Name
59 MDW ADBS
Other Name Type
Other Name(5)
Entity Type
Organization
Location Address
2200 Bergquist Dr, Lackland A F B,
Location Phone
(210) 292-7575
Location Fax
(210) 292-2592
Mailing Address
2200 Bergquist Dr, Lackland A F B, Texas(TX)
Mailing Phone
210-292-7575
Mailing Fax
210-292-2592
Enumeration Date
2006-01-04
Last Update Date
2015-01-13
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, Military and U.S. Coast Guard Ambulatory Procedure

Taxonomy Code
261QM1101X
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 261QM1100X Military/U.S. Coast Guard Outpatient Clinic/Center

Clinic/Center, MilitaryU.S. Coast Guard Outpatient

()
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
021757201 MEDICAID (05) Texas (TX)
4596776 Other (non-Medicare) (01) Texas (TX) NCPDP
HH6032 Other (non-Medicare) (01) Texas (TX) BLUE CROSS BLUE SHIELD

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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.
1275511776
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221451012714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 221451012714
2 + 2 + 1 + 4 + 5 + 1 + 0 + 1 + 2 + 7 + 1 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 6 6

The NPI number 1275511776 is valid because the calculated check digit 6 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
1215930367 LAURENT GRESSOT
Individual
Specialist 17323 RED OAK DR
HOUSTON, Texas (TX)
281-440-5006
1205839230 MERCY EMS, LLC
MERCY EMS
Organization
Ambulance, Land Transport 15401 ADDISON RD
ADDISON, Texas (TX)
972-788-9401
1164425195 MARIE DENISE JARBATH
Individual
Physician Assistant 17448 HIGHWAY 3
WEBSTER, Texas (TX)
281-338-4443
1013910058 WESTHEIMER VISION ASSOCIATES, PC
Organization
Optometrist 10260 WESTHEIMER RD
HOUSTON, Texas (TX)
713-781-3517
1215930268 CHARLES L YEN
Individual
Specialist 17323 RED OAK DR
HOUSTON, Texas (TX)
281-440-5006