USADC CLARK HALL INPROC C-DRUM
NPI 1811192594
Clinic/Center - Military/U.S. Coast Guard Outpatient in Fort Drum, NY

NPI Status: Active since June 20, 2007

Contact Information

10720 MT BELVEDERE BLVD
SUITE A1-102
FORT DRUM, NY
ZIP 13602
Phone: (315) 772-2778

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

About USADC CLARK HALL INPROC C-DRUM

This page provides the complete NPI Profile along with additional information for Usadc Clark Hall Inproc C-drum, a provider established in Fort Drum, New York operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1811192594 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 10 years ago. The provider's is doing business as Usadc Clark Hall Inproc C-drum. The authorized official of this NPI record is Nancy Draper (Acting Ubo Manager)

NPI
1811192594
Provider Legal Name
GUTHRIE AHC
Other Organization Name
USADC CLARK HALL INPROC C-DRUM
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10720 MT BELVEDERE BLVD SUITE A1-102 FORT DRUM, NY 13602
Location Phone
(315) 772-2778
Mailing Address
11050 MOUNT BELVEDERE BLVD UBO FORT DRUM, NY 13602
Mailing Phone
(315) 772-4033
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-20-2007
Last Update Date
03-26-2015
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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

NANCY DRAPER

Authorized Official Title
ACTING UBO MANAGER
Authorized Official Phone
(315) 772-1755

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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.
1811192594
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2821294518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 2 + 9 + 4 + 5 + 1 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1811192594 is valid because the calculated check digit 4 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 1811192594, enumerated in the NPI registry as an "organization" on June 20, 2007

The provider is located at 10720 Mt Belvedere Blvd Suite A1-102 Fort Drum, Ny 13602 and the phone number is (315) 772-2778

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 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].
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