17TH MEDICAL GROUP
NPI 1235490574
Clinic/Center - Health Service in Goodfellow Afb, TX

NPI Status: Active since June 04, 2012

Contact Information

271 FORT RICHARDSON AVE
GOODFELLOW AFB, TX
ZIP 76908
Phone: (325) 654-5238

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  • Organization
  • Clinic/Center
  • Health Service

About 17TH MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for 17th Medical Group, a provider established in Goodfellow Afb, Texas operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1235490574 assigned on June 2012. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is James Forrest (Colonel)

NPI
1235490574
Provider Name
17TH MEDICAL GROUP
Entity Type
Organization
Location Address
271 FORT RICHARDSON AVE GOODFELLOW AFB, TX 76908
Location Phone
(325) 654-5238
Mailing Address
1407 GREGORY DR SAN ANGELO, TX 76905
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-04-2012
Last Update Date
06-04-2012
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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 Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

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

JAMES FORREST

Authorized Official Title
COLONEL
Authorized Official Phone
(325) 654-3075

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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 1235490574, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 6 + 5 + 8 + 9 + 0 + 5 + 1 + 4 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1235490574.

Other Providers at the Same Location


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

Nurse Practitioner (Family)
271 FORT RICHARDSON AVE, GOODFELLOW AFB CLINIC
GOODFELLOW AIR FORCE BASE, TX 76908
Pharmacist
271 FORT RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Physician Assistant (Medical)
271 FORT RICHARDSON AVE, BLDG 1001
GOODFELLOW AFB, TX 76908
Optometrist
271 FORT RICHARDSON AVE, OPTOMETRY CLINIC
GOODFELLOW AFB, TX 76908
Social Worker (Clinical)
271 FORT RICHARDSON AVE, GOODFELLOW AFB
SAN ANGELO, TX 76908
Pharmacist
271 FORT RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Physician Assistant (Medical)
271 FORT RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Military Health Care Provider (Independent Duty Medical Technicians)
271 FORT RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Pharmacist
271 FORT RICHARDSON AVE
SAN ANGELO, TX 76908
Dentist
271 FORT RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Social Worker (Clinical)
271 FORT RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Psychologist
271 FORT RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Dentist
271 FORT RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Psychologist
271 FORT RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Dentist
271 FORT RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Psychologist (Clinical)
271 FORT RICHARDSON AVE
SAN ANGELO, TX 76908
Pharmacist
271 FORT RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Physician Assistant (Medical)
271 FORT RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
271 FORT RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Dentist
271 FORT RICHARDSON AVE
SAN ANGELO, TX 76908

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235490574, enumerated as an "organization" on June 04, 2012.

The provider is located at 271 FORT RICHARDSON AVE GOODFELLOW AFB, TX 76908 and the phone number is (325) 654-5238.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.