TROOP MEDICAL CLINIC #4
NPI 1588653158
Clinic/Center - Military/U.S. Coast Guard Outpatient in Ft. Stewart, GA

NPI Status: Active since October 17, 2005

Contact Information

1061 HARMON AVE, STE 1D03
WINN ARMY COMMUNITY HOSPITAL
FT. STEWART, GA
ZIP 31314
Phone: (912) 435-6933

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

About TROOP MEDICAL CLINIC #4

This page provides the complete NPI Profile along with additional information for Troop Medical Clinic #4, a provider established in Ft. Stewart, 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 1588653158 assigned on October 2005. The practitioner's primary taxonomy code is 261QM1100X with license number 004529 (GA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Patrick Michael Parks Physician Assistant (Physician Assistant)

NPI
1588653158
Provider Name
TROOP MEDICAL CLINIC #4
Entity Type
Organization
Location Address
1061 HARMON AVE, STE 1D03 WINN ARMY COMMUNITY HOSPITAL FT. STEWART, GA 31314
Location Phone
(912) 435-6933
Mailing Address
92 BRITTANY CT RICHMOND HILL, GA 31324
Mailing Phone
(912) 727-3073
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-17-2005
Last Update Date
08-22-2020
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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
License No.
004529
License State
GA
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

MR. PATRICK MICHAEL PARKS PHYSICIAN ASSISTANT

Authorized Official Title
PHYSICIAN ASSISTANT
Authorized Official Phone
(912) 435-5179

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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 1588653158, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
5
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
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 8 → 16 → 7 6 → 12 → 3 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 6 + 8 + 1 + 2 + 5 + 6 + 1 + 1 + 0 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1588653158.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Emergency Medicine
1061 HARMON AVE, STE 1D03
FORT STEWART, GA 31314

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588653158, enumerated as an "organization" on October 17, 2005.

The provider is located at 1061 HARMON AVE, STE 1D03 WINN ARMY COMMUNITY HOSPITAL FT. STEWART, GA 31314 and the phone number is (912) 435-6933.

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