EDWARD M. KENNEDY HEALTH CLINIC
NPI 1821085994
Clinic/center, Dental in Alamosa,


Quality Rating: 100 out of 100 score

NPI Status: Active since October 4, 2005

Contact Information

128 Market St
Alamosa,
Post Code: 81101
Phone: (719) 587-1001
Fax: -

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Edward M. Kennedy Health Clinic in Alamosa - Clinic/Center, Dental

Edward M. Kennedy Health Clinic is a Clinic/Center, Dental in Alamosa, . Edward M. Kennedy Health Clinic practices all healthcare services and medical treatments related to Clinic/Center, Dental. The NPI Number for Edward M. Kennedy Health Clinic is 1821085994. The last update date is 2024-04-30.

Edward M. Kennedy Health Clinic's current location address is 128 Market St, Alamosa, . You can contact this provider via phone number (719) 587-1001 and fax number -. The mailing address for Edward M. Kennedy Health Clinic is 128 Market St, Alamosa, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1821085994
Provider Legal Name
VALLEY-WIDE HEALTH SYSTEMS, INC
Other Organization Name
EDWARD M. KENNEDY HEALTH CLINIC
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
128 Market St, Alamosa,
Location Phone
(719) 587-1001
Location Fax
-
Mailing Address
925 2nd Ave, Monte Vista, Colorado(CO)
Mailing Phone
719-852-2512
Mailing Fax
719-852-3923
Enumeration Date
2005-10-04
Last Update Date
2024-04-30
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, Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
-
License No.
-
License State
Colorado (CO)
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 261QD0000X Dental Clinic/Center

Clinic/Center, Dental

()

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
56836074 MEDICAID (05) Colorado (CO)
CE 9669 Other (non-Medicare) (01) Colorado (CO) Travelers Medicare Number
VAC 4808 Other (non-Medicare) (01) Colorado (CO) Anthem BCBS

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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.
1821085994
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28410810918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 28410810918
2 + 8 + 4 + 1 + 0 + 8 + 1 + 0 + 9 + 1 + 8 + 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 1821085994 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
1538162581 COLORADO OPEN IMAGING, LLC
Organization
Radiologic Technologist, Magnetic Resonance Imaging 1120 W SOUTH BOULDER RD
LAFAYETTE, Colorado (CO)
303-926-5466
1023011046 WILLIAM R DOVE
Individual
Psychologist 1106 N CASCADE AVE
COLORADO SPRINGS, Colorado (CO)
719-632-4812
1154324168 COLORADO PROFESSIONAL MEDICAL, INC
Organization
Prosthetic/Orthotic Supplier 175 S UNION BLVD
COLORADO SPRINGS, Colorado (CO)
719-632-5075
1104829118 KENNETH BILLINGS ALLEN
Individual
Dentist, General Practice 1337 RIVERSIDE AVE
FORT COLLINS, Colorado (CO)
970-221-1658
1346243516 TERRY S WADE
Individual
Family Medicine 255 S GRAND MESA DR
CEDAREDGE, Colorado (CO)
970-856-4111