AETNA BETTER HEALTH OF MARYLAND
NPI 1679020028
Health Maintenance Organization in Blue Bell, PA

NPI Status: Active since September 01, 2016

Contact Information

1425 UNION MEETING RD
BLUE BELL, PA
ZIP 19422
Phone: (888) 702-3862

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  • Organization
  • Health Maintenance Organization

About AETNA BETTER HEALTH OF MARYLAND

This page provides the complete NPI Profile along with additional information for Aetna Better Health Of Maryland, a provider established in Blue Bell, Pennsylvania operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1679020028 assigned on September 2016. The practitioner's primary taxonomy code is 302R00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Aetna Better Health Of Maryland. The authorized official of this NPI record is Ms. Laurie Ann Brubaker (Director, Principal Off. -president)

NPI
1679020028
Provider Legal Name
AETNA HEALTH INC.
Other Organization Name
AETNA BETTER HEALTH OF MARYLAND
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1425 UNION MEETING RD BLUE BELL, PA 19422
Location Phone
(888) 702-3862
Mailing Address
4500 E COTTON CENTER BLVD PHOENIX, AZ 85040
Mailing Phone
(602) 659-1100
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-01-2016
Last Update Date
09-01-2016
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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

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

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

MS. LAURIE ANN BRUBAKER

Authorized Official Title
DIRECTOR, PRINCIPAL OFF. -PRESIDENT
Authorized Official Phone
(602) 659-1160

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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 1679020028, 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 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
6
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
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 7 → 14 → 5 0 → 0 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 4 + 9 + 0 + 2 + 0 + 0 + 4 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1679020028.

Other Providers at the Same Location


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

Social Worker (Clinical)
1425 UNION MEETING RD
BLUE BELL, PA 19422

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679020028, enumerated as an "organization" on September 01, 2016.

The provider is located at 1425 UNION MEETING RD BLUE BELL, PA 19422 and the phone number is (888) 702-3862.

Health Maintenance Organization with taxonomy code 302R00000X.