SOUTHEAST ARIZONA MEDICAL CENTER
NPI 1205164688
Radiology - Diagnostic Radiology in Douglas, AZ

NPI Status: Active since November 24, 2009

Contact Information

2174 W OAK AVE
DOUGLAS, AZ
ZIP 85607
Phone: (520) 805-5813

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  • Organization
  • Radiology
  • Diagnostic Radiology

About SOUTHEAST ARIZONA MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Southeast Arizona Medical Center, a provider established in Douglas, Arizona operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1205164688 assigned on November 2009. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Southeast Arizona Medical Center. The authorized official of this NPI record is Brian Bickell (Ceo)

NPI
1205164688
Provider Legal Name
COMMUNITY HEALTH CARE OF DOUGLAS
Other Organization Name
SOUTHEAST ARIZONA MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2174 W OAK AVE DOUGLAS, AZ 85607
Location Phone
(520) 805-5813
Mailing Address
2174 W OAK AVE DOUGLAS, AZ 85607
Mailing Phone
(520) 805-5813
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-24-2009
Last Update Date
11-24-2009
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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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

BRIAN BICKELL

Authorized Official Title
CEO
Authorized Official Phone
(520) 805-5940

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
55843901MEDICAID (05)AZ 
Z64950MEDICARE PIN (08)AZ 

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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 1205164688, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
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 0 → 0 1 → 2 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 0 + 5 + 2 + 6 + 8 + 6 + 1 + 6 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1205164688.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Internal Medicine (Infectious Disease)
2174 W OAK AVE
DOUGLAS, AZ 85607
Family Medicine
2174 W OAK AVE
DOUGLAS, AZ 85607
Internal Medicine
2174 W OAK AVE
DOUGLAS, AZ 85607
Emergency Medicine
2174 W OAK AVE
DOUGLAS, AZ 85607
Nurse Anesthetist, Certified Registered
2174 W OAK AVE, SOUTHEAST AZ MEDICAL CENTER
DOUGLAS, AZ 85607
Clinic/Center (Rural Health)
2174 W OAK AVE
DOUGLAS, AZ 85607
General Acute Care Hospital (Critical Access)
2174 W OAK AVE
DOUGLAS, AZ 85607
Nurse Practitioner (Family)
2174 W OAK AVE
DOUGLAS, AZ 85607
Clinical Medical Laboratory
2174 W OAK AVE
DOUGLAS, AZ 85607
Hospitalist
2174 W OAK AVE
DOUGLAS, AZ 85607
Nurse Practitioner
2174 W OAK AVE
DOUGLAS, AZ 85607
General Acute Care Hospital (Critical Access)
2174 W OAK AVE
DOUGLAS, AZ 85607
Emergency Medicine
2174 W OAK AVE
DOUGLAS, AZ 85607
General Acute Care Hospital
2174 W OAK AVE
DOUGLAS, AZ 85607
Ambulance (Land Transport)
2174 W OAK AVE
DOUGLAS, AZ 85607
General Acute Care Hospital (Critical Access)
2174 W OAK AVE
DOUGLAS, AZ 85607
Medicare Defined Swing Bed Unit
2174 W OAK AVE
DOUGLAS, AZ 85607

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205164688, enumerated as an "organization" on November 24, 2009.

The provider is located at 2174 W OAK AVE DOUGLAS, AZ 85607 and the phone number is (520) 805-5813.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

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