NBHC NCTC GREAT LAKES
NPI 1295928257
Clinic/Center - Military/U.S. Coast Guard Outpatient in Great Lakes, IL

NPI Status: Active since August 23, 2007

Contact Information

3001 6TH ST STE A
GREAT LAKES, IL
ZIP 60088
Phone: (847) 688-4560

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

About NBHC NCTC GREAT LAKES

This page provides the complete NPI Profile along with additional information for Nbhc Nctc Great Lakes, a provider established in Great Lakes, Illinois operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1295928257 assigned on August 2007. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Duwayne Griepentrog (Comptroller)

NPI
1295928257
Provider Name
NBHC NCTC GREAT LAKES
Entity Type
Organization
Location Address
3001 6TH ST STE A GREAT LAKES, IL 60088
Location Phone
(847) 688-4560
Mailing Address
3001 6TH ST STE A GREAT LAKES, IL 60088
Mailing Phone
(847) 688-4560
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-23-2007
Last Update Date
08-23-2007
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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 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

DUWAYNE GRIEPENTROG

Authorized Official Title
COMPTROLLER
Authorized Official Phone
(847) 688-2888

Reviews for NBHC NCTC GREAT LAKES

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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.
1295928257
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2218518216210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 1 + 8 + 2 + 1 + 6 + 2 + 1 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1295928257 is valid because the calculated check digit 7 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
1376528083DR. JOSEPH NEIL DEHOOGH D.D.S.
Individual
Dentist (General Practice)3001 6TH ST STE A
GREAT LAKES, IL 60088
(847) 688-2100
1609852219DR. KYLE SCHMIDT DDS
Individual
Dentist3001 6TH ST STE A
GREAT LAKES, IL 60088
(847) 688-4560
1790761914DR. BARBARA JEAN TOMCKO D.D.S.
Individual
Dentist (General Practice)3001 6TH ST STE A
GREAT LAKES, IL 60088
(847) 688-2100
1942286869 WALTER GALLAGHER
Individual
Dentist (General Practice)3001 6TH ST STE A
GREAT LAKES, IL 60088
(847) 688-2755
1659343978DR. ROGER EDWARD HANKS DDS
Individual
Dentist (General Practice)3001 6TH ST STE A NAVAL HEALTH CLINIC -BLDG 1017
GREAT LAKES, IL 60088
(847) 688-2100
1013985241DR. CAROLYN F. ANDREWS PH. D.
Individual
Psychologist (Clinical)3001 6TH ST STE A NAVAL HEALTH CLINIC, BLDG 200-H 9-N MENTAL HEALTH CNTR
GREAT LAKES, IL 60088
(847) 688-2221
1396700167DR. MARK EDWARD STONE DDS
Individual
Dentist (General Practice)3001 6TH ST STE A
GREAT LAKES, IL 60088
(847) 688-1900
1548226111DR. ANDREW I RADOVAN DDS
Individual
Dentist (Oral and Maxillofacial Surgery)3001 6TH ST STE A
GREAT LAKES, IL 60088
(847) 688-2100
1568482412DR. ERNESTO JUAN RIVERA JR. PHARM.D.
Individual
Pharmacist3001 6TH ST STE A
GREAT LAKES, IL 60088
(847) 688-3374
1154413193MR. MICHAEL ZENZ M.A.
Individual
Audiologist3001 6TH ST STE A
GREAT LAKES, IL 60088
(847) 688-4533
1366502858MR. RAYMOND LAWRENCE HOWARD SR.
Individual
Military Health Care Provider (Independent Duty Corpsman)3001 6TH ST STE A
GREAT LAKES, IL 60088
(847) 688-6755
1790821718 DEEKSHA SETHI D.M.D
Individual
Dentist (General Practice)3001 6TH ST STE A
GREAT LAKES, IL 60088
(847) 688-2100
1033319827PROF. DAVID AARON GALVAN IDC
Individual
Military Health Care Provider (Independent Duty Corpsman)3001 6TH ST STE A
GREAT LAKES, IL 60088
(847) 688-7005
1285826420DR. JASON P THEOBALD DDS
Individual
Dentist (General Practice)3001 6TH ST STE A
GREAT LAKES, IL 60088
(847) 688-2100
1831383108NBHC NTC GREAT LAKES
Organization
Clinic/Center (Military/U.S. Coast Guard Outpatient)3001 6TH ST STE A
GREAT LAKES, IL 60088
(847) 688-4560
1922292291NBHC NCTC INPR GREAT LAKES
Organization
Clinic/Center (Military/U.S. Coast Guard Outpatient)3001 6TH ST STE A
GREAT LAKES, IL 60088
(847) 688-4560
1912191271BDC KANSAS CITY
Organization
Clinic/Center (Military/U.S. Coast Guard Outpatient)3001 6TH ST STE A
GREAT LAKES, IL 60088
(847) 688-4560
1407027048 MELANIE MARIE FIORAMONTI MOHLER PHARMD
Individual
Pharmacist3001 6TH ST STE A BUILDING 200H
GREAT LAKES, IL 60088
(847) 688-3375
1770741779 JESSE C CABUYADAO
Individual
Military Health Care Provider (Independent Duty Corpsman)3001 6TH ST STE A
GREAT LAKES, IL 60088
(847) 688-4560
1275782070MRS. SHERRI LYNN KENIG
Individual
Social Worker (Clinical)3001 6TH ST STE A NAVAL HEALTH CLINIC MENTAL HEALTH
GREAT LAKES, IL 60088
(847) 688-3607

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295928257, enumerated in the NPI registry as an "organization" on August 23, 2007

The provider is located at 3001 6th St Ste A Great Lakes, Il 60088 and the phone number is (847) 688-4560

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 August 23, 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.