96TH MEDICAL SUPPORT SQUADRON OR 96 MDSS SGSR
NPI 1588647770
Clinic/center, Militaryu.s. Coast Guard Outpatient in Eglin Afb,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 22, 2005

Contact Information

307 Boatner Rd
Eglin Afb,
Post Code: 32542
Phone: (850) 883-9015
Fax: (850) 883-8659

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96th Medical Support Squadron Or 96 Mdss Sgsr in Eglin Afb - Clinic/Center, MilitaryU.S. Coast Guard Outpatient

96th Medical Support Squadron Or 96 Mdss Sgsr is a Clinic/Center, MilitaryU.S. Coast Guard Outpatient in Eglin Afb, . 96th Medical Support Squadron Or 96 Mdss Sgsr practices all healthcare services and medical treatments related to Clinic/Center, MilitaryU.S. Coast Guard Outpatient. The NPI Number for 96th Medical Support Squadron Or 96 Mdss Sgsr is 1588647770. The last update date is 2014-02-18.

96th Medical Support Squadron Or 96 Mdss Sgsr's current location address is 307 Boatner Rd, Eglin Afb, . You can contact this provider via phone number (850) 883-9015 and fax number (850) 883-8659. The mailing address for 96th Medical Support Squadron Or 96 Mdss Sgsr is 307 Boatner Rd, Eglin Afb, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1588647770
Provider Legal Name
96TH MEDICAL GROUP
Other Organization Name
96TH MEDICAL SUPPORT SQUADRON OR 96 MDSS SGSR
Other Name Type
Other Name(5)
Entity Type
Organization
Location Address
307 Boatner Rd, Eglin Afb,
Location Phone
(850) 883-9015
Location Fax
(850) 883-8659
Mailing Address
307 Boatner Rd, Eglin Afb, Florida(FL)
Mailing Phone
850-883-9015
Mailing Fax
850-883-8659
Enumeration Date
2005-11-22
Last Update Date
2014-02-18
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, Military General Acute Care Hospital

Taxonomy Code
2865M2000X
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 261QM1101X Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center

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

()
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
10-79260 Other (non-Medicare) (01) Florida (FL) 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.
1588647770
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2516812414714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2516812414714
2 + 5 + 1 + 6 + 8 + 1 + 2 + 4 + 1 + 4 + 7 + 1 + 4 + 24 = 70
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
0

The NPI number 1588647770 is valid because the calculated check digit 0 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
1114920261 RICHARD RANDALL THACKER
Individual
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850-878-8235
1306849336 ERIC L TOWNSEND
Individual
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904-285-7711
1326041476 RICHARD G SCHWARTZ
Individual
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561-833-4022
1295738243 MEDFUND LLC
HORIZON COLUMBUS LLC
Organization
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SARASOTA, Florida (FL)
941-925-3490
1194728147 BADER PROSTHETICS & ORTHOTICS, INC
Organization
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