USADC FT. BRAGG DAVIS
NPI 1649476987
Clinic/Center - Military/U.S. Coast Guard Outpatient in Fort Bragg, NC

NPI Status: Active since June 25, 2007

Contact Information

4-1838 NORMANDY DR
FORT BRAGG, NC
ZIP 28310
Phone: (910) 432-6190

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

About USADC FT. BRAGG DAVIS

This page provides the complete NPI Profile along with additional information for Usadc Ft. Bragg Davis, a provider established in Fort Bragg, 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 1649476987 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 12 years ago. The provider's is doing business as Usadc Ft. Bragg Davis. The authorized official of this NPI record is Barbara Black (Ubo Manager)

NPI
1649476987
Provider Legal Name
WOMACK ARMY MEDICAL CENTER
Other Organization Name
USADC FT. BRAGG DAVIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4-1838 NORMANDY DR FORT BRAGG, NC 28310
Location Phone
(910) 432-6190
Mailing Address
2817 REILLY ST MCXC-DBO-UB WAMC STOP A FORT BRAGG, NC 28310
Mailing Phone
(910) 907-6693
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-25-2007
Last Update Date
02-11-2013
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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

BARBARA BLACK

Authorized Official Title
UBO MANAGER
Authorized Official Phone
(910) 907-8537

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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.
1649476987
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26898712916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 8 + 7 + 1 + 2 + 9 + 1 + 6 + 24 = 83
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 83 = 77

The NPI number 1649476987 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649476987, enumerated in the NPI registry as an "organization" on June 25, 2007

The provider is located at 4-1838 Normandy Dr Fort Bragg, Nc 28310 and the phone number is (910) 432-6190

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 25, 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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