USADC FT. GORDON ORAL HLTH CTR
NPI 1346443017
Clinic/Center - Military/U.S. Coast Guard Outpatient in Fort Gordon, GA

NPI Status: Active since June 08, 2007

Contact Information

300 W HOSPITAL RD
USA ORAL HEALTH CENTER
FORT GORDON, GA
ZIP 30905
Phone: (706) 787-2601

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

About USADC FT. GORDON ORAL HLTH CTR

This page provides the complete NPI Profile along with additional information for Usadc Ft. Gordon Oral Hlth Ctr, a provider established in Fort Gordon, Georgia operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1346443017 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. Gordon Oral Hlth Ctr. The authorized official of this NPI record is Marvin Primos (Ubo Manager)

NPI
1346443017
Provider Legal Name
EISENHOWER ARMY MEDICAL CENTER
Other Organization Name
USADC FT. GORDON ORAL HLTH CTR
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
300 W HOSPITAL RD USA ORAL HEALTH CENTER FORT GORDON, GA 30905
Location Phone
(706) 787-2601
Mailing Address
300 W HOSPITAL RD BLDG W ATTN MCHF-PAD FORT GORDON, GA 30905
Mailing Phone
(706) 787-1125
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-08-2007
Last Update Date
01-29-2013
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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

MARVIN PRIMOS

Authorized Official Title
UBO MANAGER
Authorized Official Phone
(706) 787-7204

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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 1346443017, 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.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
4
Doubled → 8
Pos 4
6
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
7
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 4 → 8 4 → 8 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 8 + 6 + 8 + 4 + 6 + 0 + 2 + 24 = 63

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.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1346443017.

Other Providers at the Same Location


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

Internal Medicine
300 W HOSPITAL RD, BUILDING 300
FORT GORDON, GA 30905
Internal Medicine (Endocrinology, Diabetes & Metabolism)
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER
AUGUSTA, GA 30905
Family Medicine
300 W HOSPITAL RD, EAMC CREDENTIALS
FORT GORDON, GA 30905
Clinic/Center
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS
FORT GORDON, GA 30905
Otolaryngology
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER
AUGUSTA, GA 30905
Social Worker (Clinical)
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER, CREDENTIALS
FORT GORDON, GA 30905
Pharmacist
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS
FORT GORDON, GA 30905
Psychiatry & Neurology (Psychiatry)
300 W HOSPITAL RD, DDEAMC
AUGUSTA, GA 30905
Counselor (Addiction (Substance Use Disorder))
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS
FORT GORDON, GA 30905
Physical Therapist
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS
FORT GORDON, GA 30905
Contractor
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER -CREDENTIALS
FORT GORDON, GA 30905
Physician Assistant
300 W HOSPITAL RD
FORT GORDON, GA 30905
Nurse Anesthetist, Certified Registered
300 W HOSPITAL RD, EISENHOWER AMC
AUGUSTA, GA 30905
Internal Medicine (Pulmonary Disease)
300 W HOSPITAL RD, DWIGHT D EISENHOWER ARMY MEDICAL CENTER
FORT GORDON, GA 30905
Physician Assistant (Medical)
300 W HOSPITAL RD
FORT GORDON, GA 30905
Family Medicine
300 W HOSPITAL RD
FORT GORDON, GA 30905
Registered Nurse
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER ATTENTION CREDENTIALS
FORT GORDON, GA 30905
Social Worker (Clinical)
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER-CREDENTIALS
FORT GORDON, GA 30905
Social Worker (Clinical)
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER
AUGUSTA, GA 30905
Physician Assistant (Medical)
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER, ATTN CREDENTIALS
FORT GORDON, GA 30905

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346443017, enumerated as an "organization" on June 08, 2007.

The provider is located at 300 W HOSPITAL RD USA ORAL HEALTH CENTER FORT GORDON, GA 30905 and the phone number is (706) 787-2601.

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