437 MEDICAL GROUP / CAFB
NPI 1023246659
Clinic/Center in Charleston Afb, SC

NPI Status: Active since June 22, 2009

Contact Information

204 W HILL BLVD
CHARLESTON AFB, SC
ZIP 29404
Phone: (843) 963-6936
Fax: (843) 963-6903

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  • Organization
  • Clinic/Center

About 437 MEDICAL GROUP / CAFB

This page provides the complete NPI Profile along with additional information for 437 Medical Group / Cafb, a provider established in Charleston Afb, South Carolina operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1023246659 assigned on June 2009. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's other name is 437 Medical Group / Cafb. The authorized official of this NPI record is Mr. Ronnie Lee Godbolt (Independent Duty Medical Technician)

NPI
1023246659
Provider Legal Name
UNITED STATES AIR FORCE
Other Organization Name
437 MEDICAL GROUP / CAFB
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
204 W HILL BLVD CHARLESTON AFB, SC 29404
Location Phone
(843) 963-6936
Location Fax
(843) 963-6903
Mailing Address
204 W HILL BLVD CHARLESTON AFB, SC 29404
Mailing Phone
(843) 963-6936
Mailing Fax
(843) 963-6903
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-22-2009
Last Update Date
06-22-2009
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. RONNIE LEE GODBOLT

Authorized Official Title
INDEPENDENT DUTY MEDICAL TECHNICIAN
Authorized Official Phone
(843) 963-6936

Reviews for 437 MEDICAL GROUP / CAFB

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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.
1023246659
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20434412610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 4 + 4 + 1 + 2 + 6 + 1 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1023246659 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114905775628 MEDICAL GROUP
Organization
Clinic/Center (Military/U.S. Coast Guard Outpatient)204 W HILL BLVD BLDG 364
CHARLESTON AFB, SC 29404
(843) 963-6884
1376503516DR. JAMES EDWIN BOYD M.D.
Individual
Preventive Medicine (Aerospace Medicine)204 W HILL BLVD
CHARLESTON AFB, SC 29404
(843) 963-6953
1487665972MR. JOSEPH RUSSELL MAIDEN SR. LICSW
Individual
Social Worker (Clinical)204 W HILL BLVD 437 MEDICAL OPERATIONS SQUADRON
CHARLESTON, SC 29404
(843) 963-6972
1720090426MRS. PATRICIA JOY FINKENBERG LCSW
Individual
Social Worker (Clinical)204 W HILL BLVD 437 MDOS/SGOH
CHARLESTON AFB, SC 29404
(843) 963-6972
1275646226 KAREN BERKELEY PHARMD
Individual
Pharmacist204 W HILL BLVD
CHARLESTON AFB, SC 29404
(843) 963-6809
1487756839MR. ROBERT RAY BRYANT PA
Individual
Physician Assistant204 W HILL BLVD
CHARLESTON AFB, SC 29404
(843) 963-6790
1871785113DR. ANGELA R FITZPATRICK DDS
Individual
Dentist204 W HILL BLVD BLDG 364
CHARLESTON AFB, SC 29404
(843) 963-6879
1477781045 JENNIFER B CUTLIP IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)204 W HILL BLVD
CHARLESTON AFB, SC 29404
(843) 963-6984
1104054659 RONNIE LEE GODBOLT IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)204 W HILL BLVD
CHARLESTON AFB, SC 29404
(843) 963-6936
1932339827MS. PATRICIA L SILLS IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)204 W HILL BLVD
CHARLESTON AFB, SC 29404
(843) 963-6733
1417188137MR. GEORGE JAMES ANTOLICK IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)204 W HILL BLVD
CHARLESTON AFB, SC 29404
(843) 963-6743
1922239466 MONTI CUTLIP JR. IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)204 W HILL BLVD
CHARLESTON, SC 29404
(843) 963-6905
1104885250DR. MICHAEL STEVEN PHILLIPS D.M.D.
Individual
Dentist (General Practice)204 W HILL BLVD 628TH MEDICAL GROUP DENTAL SERVICES
CHARLESTON AFB, SC 29404
(843) 963-6822
1689763526DR. JERRY MARK FLETCHER RPH
Individual
Pharmacist204 W HILL BLVD 628 MEDICAL GROUP PHARMACY
JOINT BASE CHARLESTON, SC 29404
(843) 963-6809
1760636799 KATHERINE HAYES RAINEY DPT
Individual
Physical Therapist204 W HILL BLVD JOINT BASE CHARLESTON
CHARLESTON AFB, SC 29404
(843) 963-6791
1114261526 BRETT RANDALL IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)204 W HILL BLVD
CHARLESTON AFB, SC 29404
(843) 963-6880
1205294550 BRANDON STOKER IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)204 W HILL BLVD
CHARLESTON, SC 29404
(843) 963-6808
1093250839 THI NGUYEN
Individual
Pharmacist204 W HILL BLVD 628TH MEDICAL GROUP
CHARLESTON AFB, SC 29404
(843) 963-6808
1164445805MRS. JANICE M. WILLIAMS MSW
Individual
Social Worker (Clinical)204 W HILL BLVD
CHARLESTON AFB, SC 29404
(843) 577-5011
1164536983 JENNIFER S. GREEN SOCIAL WORKER
Individual
Social Worker (Clinical)204 W HILL BLVD
CHARLESTON, SC 29404
(843) 963-6971

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023246659, enumerated in the NPI registry as an "organization" on June 22, 2009

The provider is located at 204 W Hill Blvd Charleston Afb, Sc 29404 and the phone number is (843) 963-6936

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on June 22, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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