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US COAST GUARD MEDICAL CLINIC NORTH BEND
NPI 1770608424
Military Health Care Provider in North Bend, OR

NPI Status: Active since March 20, 2007

Contact Information

2000 CONNECTICUT AVE
NORTH BEND, OR
ZIP 97459
Phone: (541) 756-9234
Fax: (541) 756-9617

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Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Group Taxonomy
  4. Authorized Official
  5. NPI Validation
  6. Other Providers Same Location
  7. Frequently Asked Questions
  • Organization
  • Military Health Care Provider

About US COAST GUARD MEDICAL CLINIC NORTH BEND

This page provides the complete NPI Profile along with additional information for Us Coast Guard Medical Clinic North Bend, a provider established in North Bend, Oregon operating as a Military Health Care Provider. The healthcare provider is registered in the NPI registry with number 1770608424 assigned on March 2007. The practitioner's primary taxonomy code is 171000000X with license number 35057309 (OH). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Stephen J Kinsley M.d. (Senior Medical Officer)

NPI
1770608424
Provider Name
US COAST GUARD MEDICAL CLINIC NORTH BEND
Entity Type
Organization
Location Address
2000 CONNECTICUT AVE NORTH BEND, OR 97459
Location Phone
(541) 756-9234
Location Fax
(541) 756-9617
Mailing Address
2000 CONNECTICUT AVE NORTH BEND, OR 97459
Mailing Phone
(541) 756-9234
Mailing Fax
(541) 756-9617
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-20-2007
Last Update Date
08-22-2020
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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

Military Health Care Provider

Taxonomy Code
171000000X
Type
Other Service Providers
License No.
35057309
License State
OH
Taxonomy Description
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

MR. STEPHEN J KINSLEY M.D.

Authorized Official Title
SENIOR MEDICAL OFFICER
Authorized Official Phone
(541) 756-9237

Reviews for US COAST GUARD MEDICAL CLINIC NORTH BEND

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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.
1770608424
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271401201644
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 2 + 0 + 1 + 6 + 4 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1770608424 is valid because the calculated check digit 4 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
1851472542MR. SCOTT PAUL HEVERLY HS
Individual		Technician, Other2000 CONNECTICUT AVE
NORTH BEND, OR 97459
(541) 756-9236
1851475388MS. BARBARA ANN HOFF
Individual		Technician, Other2000 CONNECTICUT AVE
NORTH BEND, OR 97459
(541) 756-9236
1699854703MR. MATTHEW DAGAN REINES HS
Individual		Technician, Other2000 CONNECTICUT AVE
NORTH BEND, OR 97459
(541) 756-9235
1174602130 GABRIEL E VIGIL
Individual		Technician, Other2000 CONNECTICUT AVE
NORTH BEND, OR 97459
(541) 756-9234
1891864096MRS. ELIZABETH MAUREEN STEVENS I
Individual		Technician, Other2000 CONNECTICUT AVE
NORTH BEND, OR 97459
(541) 756-9234
1174698757 MARY ANN GALLINO RN
Individual		Registered Nurse2000 CONNECTICUT AVE
NORTH BEND, OR 97459
(541) 756-9316
1710026463 BRANDON COLEMAN
Individual		Technician, Other2000 CONNECTICUT AVE
NORTH BEND, OR 97459
(541) 756-9296
1679783195 CARLA RAE POLTYCIA
Individual		Dental Hygienist2000 CONNECTICUT AVE
NORTH BEND, OR 97459
(541) 756-9238
1225248743MRS. ANGIE DAWN NEELY
Individual		Dental Assistant2000 CONNECTICUT AVE
NORTH BEND, OR 97459
(541) 756-9238
1619165537MS. LYNN C KUCHAS
Individual		Specialist/Technologist, Other2000 CONNECTICUT AVE
NORTH BEND, OR 97459
(541) 756-9234
1033395520 DONNA D TOMLINSON RN
Individual		Registered Nurse2000 CONNECTICUT AVE
NORTH BEND, OR 97459
(541) 756-9234
1932430972MR. IREDELL CAMUEL WYATT IV
Individual		Technician, Other2000 CONNECTICUT AVE
NORTH BEND, OR 97459
(541) 756-9234
1033416581 EMMANUEL LOPEZ
Individual		Technician, Other2000 CONNECTICUT AVE
NORTH BEND, OR 97459
(541) 756-9234
1215202387MRS. JONNA MARIE EMINETH
Individual		Technician, Health Information2000 CONNECTICUT AVE
NORTH BEND, OR 97459
(541) 756-9234
1992141774 DUSTIN W KING
Individual		Technician, Other2000 CONNECTICUT AVE
NORTH BEND, OR 97459
(951) 719-0789
1063832111MRS. MEGAN LUCAS RN
Individual		Registered Nurse2000 CONNECTICUT AVE
NORTH BEND, OR 97459
(541) 756-9316
1659755114 TYLER PALINKAS
Individual		Technician, Other2000 CONNECTICUT AVE
NORTH BEND, OR 97459
(541) 756-9234
1639534605 PAUL WOODHEAD
Individual		Military Health Care Provider (Independent Duty Corpsman)2000 CONNECTICUT AVE SECTOR NORTH BEND MEDICAL
NORTH BEND, OR 97459
(541) 756-9234
1528423522 JACLYN CARRICATO
Individual		Military Health Care Provider2000 CONNECTICUT AVE
NORTH BEND, OR 97459
(631) 291-2498
1407054323MEDICAL DEPARTMENT USCG
Organization		Military Health Care Provider2000 CONNECTICUT AVE
NORTH BEND, OR 97459
(541) 156-9159

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770608424, enumerated in the NPI registry as an "organization" on March 20, 2007

The provider is located at 2000 Connecticut Ave North Bend, Or 97459 and the phone number is (541) 756-9234

This medical organization specializes in Military Health Care Provider with taxonomy code 171000000X

This NPI record was last updated on March 20, 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.