USADC FT. CAMPBELL TAYLOR
NPI 1215131933
Clinic/Center - Military/U.S. Coast Guard Outpatient in Fort Campbell, KY

NPI Status: Active since June 14, 2007

Contact Information

5580 DESERT STORM AVE
FORT CAMPBELL, KY
ZIP 42223
Phone: (270) 798-5429

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

About USADC FT. CAMPBELL TAYLOR

This page provides the complete NPI Profile along with additional information for Usadc Ft. Campbell Taylor, a provider established in Fort Campbell, Kentucky operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1215131933 assigned on June 2007. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Usadc Ft. Campbell Taylor. The authorized official of this NPI record is Liza J. O'neal (C, Pad)

NPI
1215131933
Provider Legal Name
BLANCHFIELD ARMY COMMUNITY HOSPITAL
Other Organization Name
USADC FT. CAMPBELL TAYLOR
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5580 DESERT STORM AVE FORT CAMPBELL, KY 42223
Location Phone
(270) 798-5429
Mailing Address
650 JOEL DR ATTN UBO FORT CAMPBELL, KY 42223
Mailing Phone
(270) 798-8286
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-14-2007
Last Update Date
01-03-2013
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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.

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

LIZA J. O'NEAL

Authorized Official Title
C, PAD
Authorized Official Phone
(270) 798-8491

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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.
1215131933
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
222523296
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 2 + 3 + 2 + 9 + 6 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1215131933 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

MRS. LAURA C CHUMLEY RDH

Dental Hygienist

5580 DESERT STORM AVE
FORT CAMPBELL, KY
ZIP 42223

(270) 798-6362

NASHVILLE VAMC

Clinic/Center

(VA)

5580 DESERT STORM AVE
FORT CAMPBELL, KY
ZIP 42223

(615) 355-3451

DR. BENJAMIN BEACHY DMD

Dentist

5580 DESERT STORM AVE
FORT CAMPBELL, KY
ZIP 42223

(270) 798-6362

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215131933, enumerated as an "organization" on June 14, 2007.

The provider is located at 5580 DESERT STORM AVE FORT CAMPBELL, KY 42223 and the phone number is (270) 798-5429.

Clinic/Center with taxonomy code 261QM1100X and a focus in Military/U.S. Coast Guard Outpatient.