KIMBROUGH AMBULATORY CARE CENTER
NPI 1679622658
Nursing Facility/Intermediate Care Facility in Fort George G Meade, MD

NPI Status: Active since January 09, 2007

Contact Information

2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD
ZIP 20755
Phone: (301) 677-8771

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About KIMBROUGH AMBULATORY CARE CENTER

This page provides the complete NPI Profile along with additional information for Kimbrough Ambulatory Care Center, a provider established in Fort George G Meade, Maryland operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1679622658 assigned on January 2007. The practitioner's primary taxonomy code is 313M00000X. 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 Mrs. Tammie F Conaway-manson Lpn (Lpm)

NPI
1679622658
Provider Name
KIMBROUGH AMBULATORY CARE CENTER
Entity Type
Organization
Location Address
2480 LLEWELLYN AVE FORT GEORGE G MEADE, MD 20755
Location Phone
(301) 677-8771
Mailing Address
311 REGIMENT CT ODENTON, MD 21113
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-09-2007
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

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

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

MRS. TAMMIE F CONAWAY-MANSON LPN

Authorized Official Title
LPM
Authorized Official Phone
(301) 677-8771

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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 1679622658, 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
6
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
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 7 → 14 → 5 6 → 12 → 3 2 → 4 5 → 10 → 1

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 + 1 + 2 + 2 + 4 + 6 + 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 1679622658.

Other Providers at the Same Location


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

Family Medicine
2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
Registered Nurse (Occupational Health)
2480 LLEWELLYN AVE
FT MEADE, MD 20755
Registered Nurse (Occupational Health)
2480 LLEWELLYN AVE
FT MEADE, MD 20755
Nurse Practitioner (Women's Health)
2480 LLEWELLYN AVE, RED TEAM
FT MEADE, MD 20755
Pediatrics
2480 LLEWELLYN AVE
FT MEADE, MD 20755
Registered Nurse (Occupational Health)
2480 LLEWELLYN AVE
FT MEADE, MD 20755
Licensed Practical Nurse
2480 LLEWELLYN AVE
FT MEADE, MD 20755
Specialist
2480 LLEWELLYN AVE
FORT MEADE, MD 20755
Internal Medicine (Cardiovascular Disease)
2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER
FT MEADE, MD 20755
Nurse Anesthetist, Certified Registered
2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER
FT MEADE, MD 20755
Psychologist (Clinical)
2480 LLEWELLYN AVE
FORT GEORGE MEADE, MD 20755
Pharmacist
2480 LLEWELLYN AVE
FORT MEADE, MD 20755
Physician Assistant (Medical)
2480 LLEWELLYN AVE, ATTN: MCXR-CR . KIMBROUGH AMBULATORY CARE CENTER
FT MEADE, MD 20755
Pediatrics
2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER
FT MEADE, MD 20755
Nurse Practitioner (Family)
2480 LLEWELLYN AVE
FORT MEADE, MD 20755
Physician Assistant (Medical)
2480 LLEWELLYN AVE
FORT MEADE, MD 20755
Family Medicine
2480 LLEWELLYN AVE
FT MEADE, MD 20755
Physical Therapist
2480 LLEWELLYN AVE
FT MEADE, MD 20755
Nurse Practitioner (Adult Health)
2480 LLEWELLYN AVE
FT MEADE, MD 20755
Social Worker (Clinical)
2480 LLEWELLYN AVE
FT MEADE, MD 20755

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679622658, enumerated as an "organization" on January 09, 2007.

The provider is located at 2480 LLEWELLYN AVE FORT GEORGE G MEADE, MD 20755 and the phone number is (301) 677-8771.

Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.