USADC FT. CAMPBELL TAYLOR
NPI 1215131933
Clinic/Center - Military/U.S. Coast Guard Outpatient in Fort Campbell, KY

NPI Status: Active since June 14, 2007

Contact Information

5580 DESERT STORM AVE
FORT CAMPBELL, KY
ZIP 42223
Phone: (270) 798-5429

Get Directions Reviews

  • Organization
  • Clinic/Center
  • Military/U.S. Coast Guard Outpatient

About USADC FT. CAMPBELL TAYLOR

This page provides the complete NPI Profile along with additional information for Usadc Ft. Campbell Taylor, a provider established in Fort Campbell, Kentucky operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1215131933 assigned on June 2007. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Usadc Ft. Campbell Taylor. The authorized official of this NPI record is Liza J. O'neal (C, Pad)

NPI
1215131933
Provider Legal Name
BLANCHFIELD ARMY COMMUNITY HOSPITAL
Other Organization Name
USADC FT. CAMPBELL TAYLOR
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5580 DESERT STORM AVE FORT CAMPBELL, KY 42223
Location Phone
(270) 798-5429
Mailing Address
650 JOEL DR ATTN UBO FORT CAMPBELL, KY 42223
Mailing Phone
(270) 798-8286
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-14-2007
Last Update Date
01-03-2013
Code Navigator

Location Map

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 Military/U.S. Coast Guard Outpatient

Taxonomy Code
261QM1100X
Type
Ambulatory Health Care Facilities
Taxonomy Description
The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.

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

LIZA J. O'NEAL

Authorized Official Title
C, PAD
Authorized Official Phone
(270) 798-8491

Reviews for USADC FT. CAMPBELL TAYLOR

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1215131933
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
222523296
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 2 + 3 + 2 + 9 + 6 + 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 1215131933 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 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457130353MRS. LAURA C CHUMLEY RDH
Individual
Dental Hygienist5580 DESERT STORM AVE
FORT CAMPBELL, KY 42223
(270) 798-6362
1801655295NASHVILLE VAMC
Organization
Clinic/Center (VA)5580 DESERT STORM AVE
FORT CAMPBELL, KY 42223
(615) 355-3451
1124856554DR. BENJAMIN BEACHY DMD
Individual
Dentist5580 DESERT STORM AVE
FORT CAMPBELL, KY 42223
(270) 798-6362

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215131933, enumerated in the NPI registry as an "organization" on June 14, 2007

The provider is located at 5580 Desert Storm Ave Fort Campbell, Ky 42223 and the phone number is (270) 798-5429

This medical organization specializes in Clinic/Center with taxonomy code 261QM1100X with a focus in Military/U.S. Coast Guard Outpatient

This NPI record was last updated on June 14, 2007. 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.