OHC-WATERVLIET
NPI 1164637112
Clinic/Center - Military/U.S. Coast Guard Outpatient in Fort Drum, NY
NPI Status: Active since May 13, 2007
Contact Information
10205 N RIVA RIDGE LOOP
SUITE P36
FORT DRUM, NY
ZIP 13602
Phone: (315) 772-2778
- Organization
- Clinic/Center
- Military/U.S. Coast Guard Outpatient
About OHC-WATERVLIET
This page provides the complete NPI Profile along with additional information for Ohc-watervliet, 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 1164637112 assigned on May 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 Ohc-watervliet. The authorized official of this NPI record is Nancy Draper (Acting Ubo Manager)
- NPI
- 1164637112
- Provider Legal Name
- GUTHRIE AHC
- Other Organization Name
- OHC-WATERVLIET
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 10205 N RIVA RIDGE LOOP SUITE P36 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
- 05-13-2007
- Last Update Date
- 03-23-2015
- 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.
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.
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 |
|---|---|---|---|
| VAD000 | MEDICARE UPIN (02) | ||
| OTH000 | MEDICARE UPIN (02) |
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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. | |||||||||
| 1 | 1 | 6 | 4 | 6 | 3 | 7 | 1 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 12 | 3 | 14 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 1 + 2 + 3 + 1 + 4 + 1 + 2 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1164637112 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
MRS. JESSICA MARIE SOUTHEARD R.D.H
Dental Hygienist
10205 N RIVA RIDGE LOOP
FORT DRUM, NY
ZIP 13602
GUTHRIE AHC
Clinic/Center
(Military/U.S. Coast Guard Outpatient)
10205 N RIVA RIDGE LOOP
SUITE P10506
FORT DRUM, NY
ZIP 13602
GUTHRIE AHC
Clinic/Center
(Military/U.S. Coast Guard Outpatient)
10205 N RIVA RIDGE LOOP
SUITE P10205
FORT DRUM, NY
ZIP 13602
GAHCC-TPCP
Military/U.S. Coast Guard Pharmacy
10205 N RIVA RIDGE LOOP
FORT DRUM, NY
ZIP 13602
DR. MARK W FAGAN DDS
Dentist
(Prosthodontics)
10205 N RIVA RIDGE LOOP
FORT DRUM, NY
ZIP 13602
MEGAN EYRE BUNTING DMD
Dentist
(Periodontics)
10205 N RIVA RIDGE LOOP
FORT DRUM, NY
ZIP 13602
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164637112, enumerated as an "organization" on May 13, 2007.
The provider is located at 10205 N RIVA RIDGE LOOP SUITE P36 FORT DRUM, NY 13602 and the phone number is (315) 772-2778.
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.
