BRANCH MEDICAL CLINIC JACKSONVILLE
NPI 1104331065
Clinic/Center - Military/U.S. Coast Guard Outpatient in Jacksonville, FL
NPI Status: Active since December 13, 2017
Contact Information
964 AJAX ST
JACKSONVILLE, FL
ZIP 32214
Phone: (904) 546-7094
- Organization
- Clinic/Center
- Military/U.S. Coast Guard Outpatient
About BRANCH MEDICAL CLINIC JACKSONVILLE
This page provides the complete NPI Profile along with additional information for Branch Medical Clinic Jacksonville, a provider established in Jacksonville, Florida operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1104331065 assigned on December 2017. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is William M Condon (Bumed Ubo)
- NPI
- 1104331065
- Provider Name
- BRANCH MEDICAL CLINIC JACKSONVILLE
- Entity Type
- Organization
- Location Address
- 964 AJAX ST JACKSONVILLE, FL 32214
- Location Phone
- (904) 546-7094
- Mailing Address
- 2080 CHILD ST JACKSONVILLE, FL 32214
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-13-2017
- Last Update Date
- 12-13-2017
- 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.
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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 1104331065, we treat the final digit (5) 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 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 45 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104331065, enumerated as an "organization" on December 13, 2017.
The provider is located at 964 AJAX ST JACKSONVILLE, FL 32214 and the phone number is (904) 546-7094.
Clinic/Center with taxonomy code 261QM1100X and a focus in Military/U.S. Coast Guard Outpatient.
