LOGISTICS HEALTH INCORPORATED
NPI 1043668775
Clinic/Center - Military/U.S. Coast Guard Outpatient in Bowie, MD

NPI Status: Active since June 03, 2016

Contact Information

4201 NORTHVIEW DR STE 410
BOWIE, MD
ZIP 20716
Phone: (240) 644-5570

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

About LOGISTICS HEALTH INCORPORATED

This page provides the complete NPI Profile along with additional information for Logistics Health Incorporated, a provider established in Bowie, Maryland operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1043668775 assigned on June 2016. The practitioner's primary taxonomy code is 261QM1100X with license number R 187467 (MD). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mrs. Stacey Santiago (Np)

NPI
1043668775
Provider Name
LOGISTICS HEALTH INCORPORATED
Entity Type
Organization
Location Address
4201 NORTHVIEW DR STE 410 BOWIE, MD 20716
Location Phone
(240) 644-5570
Mailing Address
12 INDIAN GRASS CT GERMANTOWN, MD 20874
Mailing Phone
(240) 644-5570
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-03-2016
Last Update Date
06-03-2016
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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
License No.
R 187467
License State
MD
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

MRS. STACEY SANTIAGO

Authorized Official Title
NP
Authorized Official Phone
(256) 508-9034

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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.
1043668775
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
208312616714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 1 + 2 + 6 + 1 + 6 + 7 + 1 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1043668775 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

MY MOBILE PRIMARY HEALTH CARE LLC

Clinic/Center

(Community Health)

4201 NORTHVIEW DR STE 410
BOWIE, MD
ZIP 20716

(202) 681-9661

EUGENIA SERWAH KISSI NP

Nurse Practitioner

(Adult Health)

4201 NORTHVIEW DR STE 410
BOWIE, MD
ZIP 20716

(301) 256-1803

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043668775, enumerated as an "organization" on June 03, 2016.

The provider is located at 4201 NORTHVIEW DR STE 410 BOWIE, MD 20716 and the phone number is (240) 644-5570.

Clinic/Center with taxonomy code 261QM1100X and a focus in Military/U.S. Coast Guard Outpatient.