MENDOZA SOLDIER FAMILY CARE CLINIC
NPI 1669687489
Clinic/Center - Military/U.S. Coast Guard Outpatient in El Paso, TX

NPI Status: Active since May 14, 2007

Contact Information

SSG SIMS STREET BLDG 11335
MENDOZA SOLDIER FAMILY CARE CLINIC
EL PASO, TX
ZIP 79920
Phone: (915) 742-1107

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

About MENDOZA SOLDIER FAMILY CARE CLINIC

This page provides the complete NPI Profile along with additional information for Mendoza Soldier Family Care Clinic, a provider established in El Paso, 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 1669687489 assigned on May 2007. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Mendoza Soldier Family Care Clinic. The authorized official of this NPI record is Jose Cruz-melendez (Ubo Manager)

NPI
1669687489
Provider Legal Name
WILLIAM BEAUMONT ARMY MEDICAL CENTER
Other Organization Name
MENDOZA SOLDIER FAMILY CARE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
SSG SIMS STREET BLDG 11335 MENDOZA SOLDIER FAMILY CARE CLINIC EL PASO, TX 79920
Location Phone
(915) 742-1107
Mailing Address
5005 N PIEDRAS ST ATTN TREASURER'S OFFICE EL PASO, TX 79920
Mailing Phone
(915) 569-2444
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-14-2007
Last Update Date
11-08-2024
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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.

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

JOSE CRUZ-MELENDEZ

Authorized Official Title
UBO MANAGER
Authorized Official Phone
(915) 742-8291

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
1295838787OTHER (01)PARENT FACILITY WILLIAM BEAUMONT AMC NPI

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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.
1669687489
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2612912814416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 1 + 2 + 8 + 1 + 4 + 4 + 1 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1669687489 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669687489, enumerated as an "organization" on May 14, 2007.

The provider is located at SSG SIMS STREET BLDG 11335 MENDOZA SOLDIER FAMILY CARE CLINIC EL PASO, TX 79920 and the phone number is (915) 742-1107.

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.