ISC PORTSMOUTH CLINIC
NPI 1417007790
Clinic/Center - Military/U.S. Coast Guard Outpatient in Portsmouth, VA
NPI Status: Active since January 11, 2007
Contact Information
4000 COAST GUARD BLVD
PORTSMOUTH, VA
ZIP 23703
Phone: (757) 483-8597
Fax: (757) 483-8610
- Organization
- Clinic/Center
- Military/U.S. Coast Guard Outpatient
About ISC PORTSMOUTH CLINIC
This page provides the complete NPI Profile along with additional information for Isc Portsmouth Clinic, a provider established in Portsmouth, Virginia operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1417007790 assigned on January 2007. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Isc Portsmouth Clinic. The authorized official of this NPI record is Dr. Michael J Cristy Dds (Chief, Health Services Division)
- NPI
- 1417007790
- Provider Legal Name
- ISC PORTSMOUTH HEALTH SERVICES DIVISION USCG
- Other Organization Name
- ISC PORTSMOUTH CLINIC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 4000 COAST GUARD BLVD PORTSMOUTH, VA 23703
- Location Phone
- (757) 483-8597
- Location Fax
- (757) 483-8610
- Mailing Address
- 4000 COAST GUARD BLVD PORTSMOUTH, VA 23703
- Mailing Phone
- (757) 483-8597
- Mailing Fax
- (757) 483-8610
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-11-2007
- Last Update Date
- 08-22-2020
- 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.
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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. | |||||||||
| 1 | 4 | 1 | 7 | 0 | 0 | 7 | 7 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 0 | 0 | 14 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 0 + 0 + 1 + 4 + 7 + 1 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1417007790 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1902882434 | MR. RENARD GARCIA SCOTT HS Individual | Military Health Care Provider | 4000 COAST GUARD BLVD MEDICAL DIVISION PORTSMOUTH, VA 23703 (757) 483-8597 |
| 1841278371 | MR. RHETT THOMAS BUTLER HS Individual | Technician, Other | 4000 COAST GUARD BLVD MEDICAL DEPARTMENT PORTSMOUTH, VA 23703 (757) 483-8600 |
| 1790763951 | DEANA PALMISANO Individual | Technician, Other | 4000 COAST GUARD BLVD PORTSMOUTH, VA 23703 (757) 483-8596 |
| 1841278074 | MR. ROBERT ALLEN HARRIS JR. Individual | Technician, Other | 4000 COAST GUARD BLVD PORTSMOUTH, VA 23703 (757) 483-8601 |
| 1548248826 | MR. SALVADOR ARMANDO HUERTA III Individual | Technician, Other | 4000 COAST GUARD BLVD PORTSMOUTH, VA 23703 (757) 483-8596 |
| 1306825344 | SHANNON ELIZABETH GAFFNEY HS Individual | Military Health Care Provider (Independent Duty Medical Technicians) | 4000 COAST GUARD BLVD PORTSMOUTH, VA 23703 (757) 483-8750 |
| 1295715316 | MR. CHRISTOPHER SHAWN MOLLOY Individual | Technician, Other | 4000 COAST GUARD BLVD PORTSMOUTH, VA 23703 (757) 483-8596 |
| 1649247636 | CARLOS E MARIN Individual | Technician, Other | 4000 COAST GUARD BLVD USCGC NORTHLAND (WMEC 904) PORTSMOUTH, VA 23703 (757) 407-0235 |
| 1700829355 | JAMES ANGELES Individual | Technician, Other | 4000 COAST GUARD BLVD PORTSMOUTH, VA 23703 (757) 483-8596 |
| 1073549812 | MRS. REBECCA LEE DAVIS HS2 Individual | Military Health Care Provider | 4000 COAST GUARD BLVD PORTSMOUTH, VA 23703 (757) 483-8597 |
| 1447270343 | MR. MATTHEW LUCAS COAKLEY Individual | Technician, Other | 4000 COAST GUARD BLVD ISC PORTSMOUTH HSDIV PORTSMOUTH, VA 23703 (757) 483-8596 |
| 1255429718 | TROY JOHN UTLEY TECHNICIAN Individual | Technician, Other | 4000 COAST GUARD BLVD USCG ISC PORTSMOUTH PORTSMOUTH, VA 23703 (757) 483-8474 |
| 1639269681 | AMBER LYNN MCCROSKEY Individual | Technician, Other | 4000 COAST GUARD BLVD USCG ISC PORTSMOUTH, VA 23703 (757) 483-8596 |
| 1871662445 | ERIC ROBERT BENNINGTON HS3 Individual | Technician, Other | 4000 COAST GUARD BLVD PORTSMOUTH, VA 23703 (757) 483-8597 |
| 1861564544 | CHARLES PATTERSON WEISS II Individual | Technician, Other | 4000 COAST GUARD BLVD PORTSMOUTH, VA 23703 (757) 483-8597 |
| 1770645657 | MR. CHRISTOPHER LEE BARNEY HS3 Individual | Technician | 4000 COAST GUARD BLVD PORTSMOUTH, VA 23703 (757) 483-8596 |
| 1083749287 | MR. ONEIL CLINTON LUE Individual | Technician, Health Information | 4000 COAST GUARD BLVD CGC FORWARD PORTSMOUTH, VA 23703 (757) 483-8740 |
| 1275974248 | MRS. AMBER CARLIE REID FORD HS Individual | Emergency Medical Technician, Basic | 4000 COAST GUARD BLVD PORTSMOUTH, VA 23703 (757) 483-8596 |
| 1437583176 | LILLIAN COCKRILL Individual | Social Worker (Clinical) | 4000 COAST GUARD BLVD HSWL PORTSMOUTH, VA 23703 (757) 686-4027 |
| 1750719407 | MR. TERRENCE TANNER LCSW Individual | Counselor (Mental Health) | 4000 COAST GUARD BLVD HSWL PORTSMOUTH, VA 23703 (757) 686-4036 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417007790, enumerated in the NPI registry as an "organization" on January 11, 2007
The provider is located at 4000 Coast Guard Blvd Portsmouth, Va 23703 and the phone number is (757) 483-8597
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 January 11, 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].
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