RANDOLPH AFB CLINIC
NPI 1316911597
Clinic/Center - Military/U.S. Coast Guard Outpatient in Randolph A F B, TX
NPI Status: Active since February 15, 2006
Contact Information
221 3RD ST W
BLDG 1040
RANDOLPH A F B, TX
ZIP 78150
Phone: (210) 652-2420
Fax: (210) 652-6571
- Organization
- Clinic/Center
- Military/U.S. Coast Guard Outpatient
About RANDOLPH AFB CLINIC
This page provides the complete NPI Profile along with additional information for Randolph Afb Clinic, a provider established in Randolph A F B, Texas operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1316911597 assigned on February 2006. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's other name is Randolph Afb Clinic. The authorized official of this NPI record is Serena Lynn Hansken (Air Force Uniform Business Office)
- NPI
- 1316911597
- Provider Legal Name
- 12TH MEDICAL GROUP RANDOLPH
- Other Organization Name
- RANDOLPH AFB CLINIC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 221 3RD ST W BLDG 1040 RANDOLPH A F B, TX 78150
- Location Phone
- (210) 652-2420
- Location Fax
- (210) 652-6571
- Mailing Address
- 221 3RD ST W BLDG 1040 RANDOLPH A F B, TX 78150
- Mailing Phone
- (210) 652-2420
- Mailing Fax
- (210) 652-6571
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-15-2006
- Last Update Date
- 11-15-2010
- 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/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.
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 | 261QM1101X | 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.
*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 |
|---|---|---|---|
| 4512908 | OTHER (01) | TX | NCPDP |
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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 1316911597, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
RANDOLPH A F B, TX 78150
RANDOLPH AFB, TX 78150
RANDOLPH A F B, TX 78150
RANDOLPH AFB, TX 78150
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316911597, enumerated as an "organization" on February 15, 2006.
The provider is located at 221 3RD ST W BLDG 1040 RANDOLPH A F B, TX 78150 and the phone number is (210) 652-2420.
Clinic/Center with taxonomy code 261QM1100X and a focus in Military/U.S. Coast Guard Outpatient.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
