JOINT BASE ELMENDORF RICHARDSON MTF
NPI 1568446524
Clinic/center, Military And U.s. Coast Guard Ambulatory Procedure in Elmendorf Afb,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 2, 2005

Contact Information

5955 Zeamer Ave
Elmendorf Afb,
Post Code: 99506
Phone: (907) 580-3006
Fax: -

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Joint Base Elmendorf Richardson Mtf in Elmendorf Afb - Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure

Joint Base Elmendorf Richardson Mtf is a Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure in Elmendorf Afb, . Joint Base Elmendorf Richardson Mtf practices all healthcare services and medical treatments related to Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure. The NPI Number for Joint Base Elmendorf Richardson Mtf is 1568446524. The last update date is 2014-03-07.

Joint Base Elmendorf Richardson Mtf's current location address is 5955 Zeamer Ave, Elmendorf Afb, . You can contact this provider via phone number (907) 580-3006 and fax number -. The mailing address for Joint Base Elmendorf Richardson Mtf is 5955 Zeamer Ave, Elmendorf Afb, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1568446524
Provider Legal Name
673RD MEDICAL GROUP SGSR
Other Organization Name
JOINT BASE ELMENDORF RICHARDSON MTF
Other Name Type
Other Name(5)
Entity Type
Organization
Location Address
5955 Zeamer Ave, Elmendorf Afb,
Location Phone
(907) 580-3006
Location Fax
-
Mailing Address
5955 Zeamer Ave, Elmendorf Afb, Alaska(AK)
Mailing Phone
907-929-2471
Mailing Fax
-
Enumeration Date
2005-12-02
Last Update Date
2014-03-07
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

Military Hospital

Taxonomy Code
286500000X
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 261QM1100X Military/U.S. Coast Guard Outpatient Clinic/Center

Clinic/Center, MilitaryU.S. Coast Guard Outpatient

()
3 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
02-02402 Other (non-Medicare) (01) Alaska (AK) 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.
1568446524
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128841254
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 25128841254
2 + 5 + 1 + 2 + 8 + 8 + 4 + 1 + 2 + 5 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 4 4

The NPI number 1568446524 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
1477556488 ANNELLE GLEE MAYGREN
Individual
Optometrist 3100 CHANNEL DR STE 300
JUNEAU, Alaska (AK)
907-463-4074
1063415156 DANIEL G COSTELLO
Individual
Physician Assistant 1526 COLE BLVD STE 300
LAKEWOOD, Colorado (CO)
303-379-9371
1548263387 ALASKA INFUSION THERAPY, INC.
Organization
Pharmacy PO BOX 32960
JUNEAU, Alaska (AK)
907-789-7570
1275536104 CYNTHIA AGUIAR
Individual
Pharmacist, Psychiatric 929 BENCH CT
ANCHORAGE, Alaska (AK)
907-729-2150
1043213507 JANICE L STABLES
Individual
Nurse Practitioner, Family 1867 AIRPORT WAY
FAIRBANKS, Alaska (AK)
907-452-6330