43RD MEDICAL GROUP
NPI 1619957586
Clinic/Center - Military/U.S. Coast Guard Outpatient in Pope Afb, NC

NPI Status: Active since January 18, 2006

Contact Information

383 MAYNARD ST
43RD MEDICAL GROUP
POPE AFB, NC
ZIP 28308
Phone: (910) 394-2205
Fax: (910) 394-2077

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

About 43RD MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for 43rd Medical Group, a provider established in Pope Afb, North Carolina operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1619957586 assigned on January 2006. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Serena Lynn Hansken (Air Force Uniform Business Office P)

NPI
1619957586
Provider Name
43RD MEDICAL GROUP
Entity Type
Organization
Location Address
383 MAYNARD ST 43RD MEDICAL GROUP POPE AFB, NC 28308
Location Phone
(910) 394-2205
Location Fax
(910) 394-2077
Mailing Address
383 MAYNARD ST 43RD MEDICAL GROUP POPE AFB, NC 28308
Mailing Phone
(910) 394-2205
Mailing Fax
(910) 394-2077
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-18-2006
Last Update Date
11-12-2010
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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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM1101XAmbulatory Health Care Facilities

Clinic/Center
Military and U.S. Coast Guard Ambulatory Procedure

 
2332000000XSuppliers

Military/U.S. Coast Guard Pharmacy

 

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

SERENA LYNN HANSKEN

Authorized Official Title
AIR FORCE UNIFORM BUSINESS OFFICE P
Authorized Official Phone
(703) 588-6419

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
34-37313OTHER (01)NCNCPDP

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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.
1619957586
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
262918514516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 1 + 8 + 5 + 1 + 4 + 5 + 1 + 6 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1619957586 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609869742MS. ANTOINETTE MARIE MCNEARY NP
Individual
Nurse Practitioner (Women's Health)383 MAYNARD ST
POPE A F B, NC 28308
(910) 394-1250
1568458768 WALTER BARNETT KING JR. O.D.
Individual
Optometrist383 MAYNARD ST
POPE AFB, NC 28308
(910) 394-4258
1306837596DR. GERALD RICHARD SCHWARTZ MD
Individual
Military Health Care Provider383 MAYNARD ST BUILDING 305-43 MDG
POPE AFB, NC 28308
(910) 394-4915
1730162306 FRED PATRICK STONE PH.D.
Individual
Social Worker (Clinical)383 MAYNARD ST
POPE AFB, NC 28308
(910) 394-4503
1184645590DR. JAMES H DIENST O.D.
Individual
Optometrist383 MAYNARD ST
POPE A F B, NC 28308
(910) 394-4503
1801030903 KEITH ROCKINS IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)383 MAYNARD ST 307A FLIGHT MEDICINE
POPE AFB, NC 28308
(910) 394-1328
1710121595 SHEILA ANN SHIMEK CHRISTMAN IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)383 MAYNARD ST BLDG 307A FLIGHT MEDICINE
POPE AFB, NC 28308
(910) 394-1328
1568697068 JESSICA SERPA IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)383 MAYNARD ST
POPE AFB, NC 28308
(910) 394-4678
1275516221 ROBERT DELANCY PA-C
Individual
Physician Assistant (Medical)383 MAYNARD ST 43RD MEDICAL GROUP
POPE AFB, NC 28308
(910) 394-4084
1962720599WOMACK ARMY MEDICAL CENTER
Organization
Clinic/Center (Military/U.S. Coast Guard Outpatient)383 MAYNARD ST DENTAL CLINIC
POPE AFB, NC 28308
(910) 907-7292
1871810044WOMACK ARMY MEDICAL CENTER
Organization
Clinic/Center (Military/U.S. Coast Guard Outpatient)383 MAYNARD ST
POPE AFB, NC 28308
(910) 907-9262
1467551754WOMACK ARMY MEDICAL CENTER
Organization
Military/U.S. Coast Guard Pharmacy383 MAYNARD ST
POPE AFB, NC 28308
(910) 394-2208

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619957586, enumerated in the NPI registry as an "organization" on January 18, 2006

The provider is located at 383 Maynard St 43rd Medical Group Pope Afb, Nc 28308 and the phone number is (910) 394-2205

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

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 January 18, 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].
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