OUTPATIENT TREATMENT CTR
NPI 1396990800
Clinic/Center - Urgent Care in Kingman, AZ

NPI Status: Active since November 25, 2008

Contact Information

3636 STOCKTON HILL ROAD
KINGMAN, AZ
ZIP 86409
Phone: (928) 757-3680
Fax: (928) 757-3614

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  • Organization
  • Clinic/Center
  • Urgent Care

About OUTPATIENT TREATMENT CTR

This page provides the complete NPI Profile along with additional information for Outpatient Treatment Ctr, a provider established in Kingman, Arizona operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1396990800 assigned on November 2008. The practitioner's primary taxonomy code is 261QU0200X with license number OTC-0660 (AZ). The provider is registered as an organization and their NPI record was last updated 7 years ago. Outpatient Treatment Ctr operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Outpatient Treatment Ctr. The authorized official of this NPI record is Azam S. Khan (Chief Administrative Officer)

NPI
1396990800
Provider Legal Name
ARIZONA INSTITUTE OF MEDICINE & SURGERY
Other Organization Name
OUTPATIENT TREATMENT CTR
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
3636 STOCKTON HILL ROAD KINGMAN, AZ 86409
Location Phone
(928) 757-3680
Location Fax
(928) 757-3614
Mailing Address
3636 STOCKTON HILL ROAD KINGMAN, AZ 86409
Mailing Phone
(928) 757-3680
Mailing Fax
(928) 757-3614
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-25-2008
Last Update Date
06-16-2018
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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 Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities
License No.
OTC-0660
License State
AZ

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)
12085B0100XAllopathic & Osteopathic Physicians

Radiology
Body Imaging

OTC660 (AZ)
22085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

OTC660 (AZ)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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.

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

AZAM S. KHAN

Authorized Official Title
CHIEF ADMINISTRATIVE OFFICER
Authorized Official Phone
(928) 757-3636

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
OTC-0660OTHER (01)AZMEDICAL FACILITY LICENSING
167933MEDICAID (05)AZ 

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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.
1396990800
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186189080
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 1 + 8 + 9 + 0 + 8 + 0 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1396990800 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

AIMS PHYSICIANS AND SURGEONS

Family Medicine

3636 STOCKTON HILL ROAD
KINGMAN, AZ
ZIP 86409

(928) 757-3636

ARIZONA INSTITUTE OF MEDICINE AND SURGERY

Clinic/Center

(Urgent Care)

3636 STOCKTON HILL ROAD
KINGMAN, AZ
ZIP 86409

(928) 757-3680

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396990800, enumerated as an "organization" on November 25, 2008.

The provider is located at 3636 STOCKTON HILL ROAD KINGMAN, AZ 86409 and the phone number is (928) 757-3680.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.