MEDDAC FORT IRWIN, CA
NPI 1114975513
Military Hospital in Fort Irwin, CA

NPI Status: Active since May 05, 2006

Contact Information

BUILDING 170
FORT IRWIN, CA
ZIP 92310
Phone: (760) 380-5183

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  • Organization
  • Military Hospital

About MEDDAC FORT IRWIN, CA

This page provides the complete NPI Profile along with additional information for Meddac Fort Irwin, Ca, a provider established in Fort Irwin, California operating as a Military Hospital. The healthcare provider is registered in the NPI registry with number 1114975513 assigned on May 2006. The practitioner's primary taxonomy code is 286500000X with license number 481436 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Meddac Fort Irwin, Ca. The authorized official of this NPI record is Ms. Victoria Regina Davis Rn (Head Nurse)

NPI
1114975513
Provider Legal Name
WEED ARMY COMMUNITY HOSPITAL
Other Organization Name
MEDDAC FORT IRWIN, CA
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
BUILDING 170 FORT IRWIN, CA 92310
Location Phone
(760) 380-5183
Mailing Address
15752 SCOTT DR FONTANA, CA 92336
Mailing Phone
(951) 235-6329
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-05-2006
Last Update Date
08-22-2020
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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

Military Hospital

Taxonomy Code
286500000X
Type
Hospitals
License No.
481436
License State
CA
Taxonomy Description
A health care facility operated by the Department of Defense.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MS. VICTORIA REGINA DAVIS RN

Authorized Official Title
HEAD NURSE
Authorized Official Phone
(760) 380-5183

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
481436OTHER (01)CAREGISTERED NURSE

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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.
1114975513
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241871052
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 8 + 7 + 1 + 0 + 5 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1114975513 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831349430 JILL ANN GOULD R.N.
Individual
Registered Nurse (Case Management)BUILDING 170
FORT IRWIN, CA 92310
(760) 380-5434
1356591663 ROSA GENEVICH
Individual
Registered Nurse (Case Management)BUILDING 170
FORT IRWIN, CA 92310
(760) 380-5031

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114975513, enumerated in the NPI registry as an "organization" on May 05, 2006

The provider is located at Building 170 Fort Irwin, Ca 92310 and the phone number is (760) 380-5183

This medical organization specializes in Military Hospital with taxonomy code 286500000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 05, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.