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

NPI Profile Information
Primary Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

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 13 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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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 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

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	2	3	5	4	9	0	5	7	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	6	5	8	9	0	5	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 8 + 9 + 0 + 5 + 1 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 4									4

The NPI number 1235490574 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

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

17TH MEDICAL GROUP

Clinic/Center

(Military/U.S. Coast Guard Outpatient)

271 FORT RICHARDSON AVE
GOODFELLOW AFB, TX
ZIP 76908

About 17TH MEDICAL GROUP

Location Map

Specialty - Primary Taxonomy

Clinic/Center Health Service

Authorized Official

JAMES FORREST

Reviews for 17TH MEDICAL GROUP

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is 17TH MEDICAL GROUP's NPI number?

Where is the provider located?

What is the provider's specialty?