FT MEADE MEDDAC
NPI 1164507703
Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure in Fort Meade, MD

NPI Status: Active since October 25, 2006

Contact Information

2480 LLEWELLYN AVE
FORT MEADE, MD
ZIP 20755
Phone: (301) 677-8800

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  • Organization
  • Clinic/Center
  • Military and U.S. Coast Guard Ambulatory...

About FT MEADE MEDDAC

This page provides the complete NPI Profile along with additional information for Ft Meade Meddac, a provider established in Fort Meade, Maryland operating as a Clinic/center, focusing in military and u.s. coast guard ambulatory procedure . The healthcare provider is registered in the NPI registry with number 1164507703 assigned on October 2006. The practitioner's primary taxonomy code is 261QM1101X. 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 Terri Kimbrow (Ubo Manager)

NPI
1164507703
Provider Legal Name
FT MEADE MEDDAC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
2480 LLEWELLYN AVE FORT MEADE, MD 20755
Location Phone
(301) 677-8800
Mailing Address
2480 LLEWELLYN AVE CDR USAMEDDAC MCXR-BD STE 5800 FORT MEADE, MD 20755
Mailing Phone
(301) 677-8800
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-25-2006
Last Update Date
05-21-2025
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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

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

Taxonomy Code
261QM1101X
Type
Ambulatory Health Care Facilities
Taxonomy Description
That part of a fixed (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial take home pharmaceuticals.

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)
1261QM1100XAmbulatory Health Care Facilities

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

 
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.

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

TERRI KIMBROW

Authorized Official Title
UBO MANAGER
Authorized Official Phone
(301) 677-8512

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
AN2598588OTHER (01)MEDCO
02DTOTHER (01)BCBS FEDERAL
1447357298 / 2125284OTHER (01)PHARMACY NPI/NCPDP

Reviews for FT MEADE MEDDAC

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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 1164507703, we treat the final digit (3) 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

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
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
3
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 6 → 12 → 3 5 → 10 → 1 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 2 + 4 + 1 + 0 + 0 + 1 + 4 + 7 + 0 + 24 = 47

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

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1164507703.

Other Providers at the Same Location


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

Family Medicine
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Registered Nurse (Occupational Health)
2480 LLEWELLYN AVE
FT MEADE, MD 20755
Registered Nurse (Occupational Health)
2480 LLEWELLYN AVE
FT MEADE, MD 20755
Nurse Practitioner (Women's Health)
2480 LLEWELLYN AVE, RED TEAM
FT MEADE, MD 20755
Pediatrics
2480 LLEWELLYN AVE
FT MEADE, MD 20755
Registered Nurse (Occupational Health)
2480 LLEWELLYN AVE
FT MEADE, MD 20755
Licensed Practical Nurse
2480 LLEWELLYN AVE
FT MEADE, MD 20755
Specialist
2480 LLEWELLYN AVE
FORT MEADE, MD 20755
Internal Medicine (Cardiovascular Disease)
2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER
FT MEADE, MD 20755
Nurse Anesthetist, Certified Registered
2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER
FT MEADE, MD 20755
Psychologist (Clinical)
2480 LLEWELLYN AVE
FORT GEORGE MEADE, MD 20755
Pharmacist
2480 LLEWELLYN AVE
FORT MEADE, MD 20755
Physician Assistant (Medical)
2480 LLEWELLYN AVE, ATTN: MCXR-CR . KIMBROUGH AMBULATORY CARE CENTER
FT MEADE, MD 20755
Pediatrics
2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER
FT MEADE, MD 20755
Nurse Practitioner (Family)
2480 LLEWELLYN AVE
FORT MEADE, MD 20755
Physician Assistant (Medical)
2480 LLEWELLYN AVE
FORT MEADE, MD 20755
Family Medicine
2480 LLEWELLYN AVE
FT MEADE, MD 20755
Physical Therapist
2480 LLEWELLYN AVE
FT MEADE, MD 20755
Nurse Practitioner (Adult Health)
2480 LLEWELLYN AVE
FT MEADE, MD 20755
Social Worker (Clinical)
2480 LLEWELLYN AVE
FT MEADE, MD 20755

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164507703, enumerated as an "organization" on October 25, 2006.

The provider is located at 2480 LLEWELLYN AVE FORT MEADE, MD 20755 and the phone number is (301) 677-8800.

Clinic/Center with taxonomy code 261QM1101X and a focus in Military and U.S. Coast Guard Ambulatory Procedure.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.