EBH 5TH GROUP-CAMPBELL
NPI 1649665852
Clinic/Center - Military/U.S. Coast Guard Outpatient in Fort Campbell, KY
NPI Status: Active since April 03, 2015
Contact Information
6102 TENNESSEE AVE
FORT CAMPBELL, KY
ZIP 42223
Phone: (270) 461-0600
- Organization
- Clinic/Center
- Military/U.S. Coast Guard Outpatient
About EBH 5TH GROUP-CAMPBELL
This page provides the complete NPI Profile along with additional information for Ebh 5th Group-campbell, 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 1649665852 assigned on April 2015. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Ebh 5th Group-campbell. The authorized official of this NPI record is Sharon Tucker (Ubo Manager)
- NPI
- 1649665852
- Provider Legal Name
- BLANCHFIELD ARMY COMMUNITY HOSPITAL
- Other Organization Name
- EBH 5TH GROUP-CAMPBELL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 6102 TENNESSEE AVE FORT CAMPBELL, KY 42223
- Location Phone
- (270) 461-0600
- 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
- 04-03-2015
- Last Update Date
- 04-03-2015
- 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.
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.
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 |
|---|---|---|---|
| 1417044702 | OTHER (01) | PARENT FACILITY BLANCHFIELD ACH NPI 2 |
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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 | 6 | 4 | 9 | 6 | 6 | 5 | 8 | 5 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 12 | 6 | 10 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 1 + 2 + 6 + 1 + 0 + 8 + 1 + 0 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1649665852 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1538173877 | WESLEY B EBERLIN PT Individual | Physical Therapist | 6102 TENNESSEE AVE FORT CAMPBELL, KY 42223 (270) 956-4594 |
| 1568929925 | JOHN RYAN BOESCH RD Individual | Dietitian, Registered | 6102 TENNESSEE AVE FORT CAMPBELL, KY 42223 (615) 517-9021 |
| 1962193102 | AMANDA MARIE DIEMER Individual | Registered Nurse (Case Management) | 6102 TENNESSEE AVE FORT CAMPBELL, KY 42223 (270) 461-0570 |
| 1003671868 | MRS. KARIN CHRISTINE MENDOZA MSN, RN Individual | Registered Nurse (Psychiatric/Mental Health) | 6102 TENNESSEE AVE FORT CAMPBELL, KY 42223 (270) 461-0568 |
| 1356108054 | LAURA EVANGELINE BAREFOOT O'DONNELL RN, CMGT-BC Individual | Registered Nurse (Case Management) | 6102 TENNESSEE AVE FORT CAMPBELL, KY 42223 (270) 412-7395 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649665852, enumerated in the NPI registry as an "organization" on April 03, 2015
The provider is located at 6102 Tennessee Ave Fort Campbell, Ky 42223 and the phone number is (270) 461-0600
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 April 03, 2015. 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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