19TH MEDGRP-LITTLE ROCK
NPI 1073591830
Clinic/Center - Military/U.S. Coast Guard Outpatient in Lr Afb, AR

NPI Status: Active since January 03, 2006

Contact Information

1090 ARNOLD DR
LR AFB, AR
ZIP 72099
Phone: (501) 987-7414
Fax: (501) 987-7310

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

About 19TH MEDGRP-LITTLE ROCK

This page provides the complete NPI Profile along with additional information for 19th Medgrp-little Rock, a provider established in Lr Afb, Arkansas operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1073591830 assigned on January 2006. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Jen Lewandowski (Air Force Ubo Analyst)

NPI
1073591830
Provider Legal Name
19TH MEDGRP-LITTLE ROCK
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1090 ARNOLD DR LR AFB, AR 72099
Location Phone
(501) 987-7414
Location Fax
(501) 987-7310
Mailing Address
1090 ARNOLD DR LR AFB, AR 72099
Mailing Phone
(501) 987-7414
Mailing Fax
(501) 987-7310
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-03-2006
Last Update Date
06-16-2025
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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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM1101XAmbulatory Health Care Facilities

Clinic/Center
Military and U.S. Coast Guard Ambulatory Procedure

 
2332000000XSuppliers

Military/U.S. Coast Guard Pharmacy

 

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.

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

JEN LEWANDOWSKI

Authorized Official Title
AIR FORCE UBO ANALYST
Authorized Official Phone
(703) 817-4030

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
420846OTHER (01)ARNCPDP

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073591830, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 1 + 0 + 9 + 2 + 8 + 6 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1073591830.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Women's Health)
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Pediatrics
1090 ARNOLD DR, 314TH MEDICAL GROUP
LITTLE ROCK AFB, AR 72099
Nurse Practitioner (Pediatrics)
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Pharmacist
1090 ARNOLD DR
LITTLE ROCK AIR FORCE BASE, AR 72099
Dentist (General Practice)
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Pharmacist
1090 ARNOLD DR
JACKSONVILLE, AR 72099
Social Worker (Clinical)
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Optometrist
1090 ARNOLD DR
LITTLE ROCK AIR FORCE BASE, AR 72099
Military Health Care Provider (Independent Duty Medical Technicians)
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Military Health Care Provider (Independent Duty Medical Technicians)
1090 ARNOLD DR, BLDG 1090/FLIGHT MEDICINE
LR AFB, AR 72099
Dental Hygienist
1090 ARNOLD DR
LITTLE ROCK AIR FORCE BASE, AR 72099
Military Health Care Provider (Independent Duty Medical Technicians)
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Counselor (Addiction (Substance Use Disorder))
1090 ARNOLD DR
JACKSONVILLE, AR 72099
Pediatrics
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Pharmacist
1090 ARNOLD DR
LR AFB, AR 72099
Psychologist (Clinical)
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Dentist (Prosthodontics)
1090 ARNOLD DR
LITTLE ROCK AIR FORCE BASE, AR 72099
Military Health Care Provider (Independent Duty Medical Technicians)
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Nurse Practitioner (Women's Health)
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099
Psychologist (Clinical)
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073591830, enumerated as an "organization" on January 03, 2006.

The provider is located at 1090 ARNOLD DR LR AFB, AR 72099 and the phone number is (501) 987-7414.

Clinic/Center with taxonomy code 261QM1100X and 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 verify.