59TH MDW-WHASC-LACKLAND
NPI 1275511776
Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure in Lackland A F B, TX
NPI Status: Active since January 04, 2006
Contact Information
2200 BERGQUIST DR
SUITE 1 ADBS
LACKLAND A F B, TX
ZIP 78236
Phone: (210) 292-7575
Fax: (210) 292-2592
- Organization
- Clinic/Center
- Military and U.S. Coast Guard Ambulatory...
About 59TH MDW-WHASC-LACKLAND
This page provides the complete NPI Profile along with additional information for 59th Mdw-whasc-lackland, a provider established in Lackland A F B, Texas operating as a Clinic/center, focusing in military and u.s. coast guard ambulatory procedure . The healthcare provider is registered in the NPI registry with number 1275511776 assigned on January 2006. The practitioner's primary taxonomy code is 261QM1101X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1275511776
- Provider Legal Name
- 59TH MDW-WHASC-LACKLAND
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 2200 BERGQUIST DR SUITE 1 ADBS LACKLAND A F B, TX 78236
- Location Phone
- (210) 292-7575
- Location Fax
- (210) 292-2592
- Mailing Address
- 2200 BERGQUIST DR SUITE 1 ADBS LACKLAND A F B, TX 78236
- Mailing Phone
- (210) 292-7575
- Mailing Fax
- (210) 292-2592
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-04-2006
- Last Update Date
- 06-17-2025
- 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 and U.S. Coast Guard Ambulatory Procedure
- Taxonomy Code
- 261QM1101X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- That part of a fixed (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial take home pharmaceuticals.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM1100X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 332000000X | Suppliers | Military/U.S. Coast Guard Pharmacy |
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.
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 |
|---|---|---|---|
| HH6032 | OTHER (01) | TX | BLUE CROSS BLUE SHIELD |
| 4596776 | OTHER (01) | TX | NCPDP |
| 021757201 | MEDICAID (05) | TX |
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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 1275511776, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LACKLAND A F B, TX 78236
LACKLAND A F B, TX 78236
LACKLAND A F B, TX 78236
LACKLAND A F B, TX 78236
LACKLAND A F B, TX 78236
LACKLAND A F B, TX 78236
LACKLAND A F B, TX 78236
LACKLAND A F B, TX 78236
LACKLAND A F B, TX 78236
LACKLAND A F B, TX 78236
LACKLAND A F B, TX 78236
LACKLAND A F B, TX 78236
LACKLAND A F B, TX 78236
LACKLAND A F B, TX 78236
LACKLAND A F B, TX 78236
LACKLAND A F B, TX 78236
LACKLAND AFB, TX 78236
LACKLAND A F B, TX 78236
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275511776, enumerated as an "organization" on January 04, 2006.
The provider is located at 2200 BERGQUIST DR SUITE 1 ADBS LACKLAND A F B, TX 78236 and the phone number is (210) 292-7575.
Clinic/Center with taxonomy code 261QM1101X and a focus in Military and U.S. Coast Guard Ambulatory Procedure.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.