WILFORD HALL USAF MEDICAL CENTER
NPI 1730257429
Exclusive Provider Organization in Lackland A F B, TX

NPI Status: Active since December 01, 2006

Contact Information

2200 BERGQUIST DR
LACKLAND A F B, TX
ZIP 78236
Phone: (210) 292-7361

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About WILFORD HALL USAF MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Wilford Hall Usaf Medical Center, a provider established in Lackland A F B, Texas operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1730257429 assigned on December 2006. The practitioner's primary taxonomy code is 302F00000X with license number F2298 (TX). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Darlon B Jackson (Credentials Manager)

NPI
1730257429
Provider Name
WILFORD HALL USAF MEDICAL CENTER
Entity Type
Organization
Location Address
2200 BERGQUIST DR LACKLAND A F B, TX 78236
Location Phone
(210) 292-7361
Mailing Address
116 TRILLIUM LN SAN ANTONIO, TX 78213
Mailing Phone
(210) 342-6789
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-01-2006
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

Exclusive Provider Organization

Taxonomy Code
302F00000X
Type
Managed Care Organizations
License No.
F2298
License State
TX
Taxonomy Description
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

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

DARLON B JACKSON

Authorized Official Title
CREDENTIALS MANAGER
Authorized Official Phone
(210) 292-6707

Reviews for WILFORD HALL USAF MEDICAL CENTER

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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.
1730257429
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2760451444
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 4 + 5 + 1 + 4 + 4 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1730257429 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

DR. CRAIG EUGENE JORDAN PH.D.

Audiologist

(Assistive Technology Practitioner)

2200 BERGQUIST DR
SUITE 1
LACKLAND A F B, TX
ZIP 78236

(210) 536-2940

DR. CRAIG J CHRISTENSON D.P.M.

Podiatrist

(Foot & Ankle Surgery)

2200 BERGQUIST DR
SUITE 1
LACKLAND A F B, TX
ZIP 78236

(210) 292-7395

DR. JOHN WILLIAM HULTQUIST DMD, MD

Dentist

(Oral and Maxillofacial Surgery)

2200 BERGQUIST DR
SUITE 1
LACKLAND A F B, TX
ZIP 78236

(210) 292-5044

DR. MONTY TIMOTHY BAKER PH.D.

Psychologist

(Clinical)

2200 BERGQUIST DR
STE. 1, LIFE SKILLS SUPPORT CENTER, 59 MDOS MMCM
LACKLAND A F B, TX
ZIP 78236

(210) 292-7361

CHARLES EDWIN HULSHOF LCSW

Social Worker

(Clinical)

2200 BERGQUIST DR
SUITE 1 ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX
ZIP 78236

(210) 292-6707

DR. WILLIAM BRIAN PERRY MD

Colon & Rectal Surgery

2200 BERGQUIST DR
ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX
ZIP 78236

(210) 292-6707

DR. CARLA ANNE BEECHIE M.D.

Pediatrics

2200 BERGQUIST DR
ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX
ZIP 78236

(210) 292-3432

DR. ROBERT KARL KLEPAC PH.D.

Psychologist

(Clinical)

2200 BERGQUIST DR
ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX
ZIP 78236

(210) 292-5949

DR. THOMAS RICHARD SCHNEID D.M.D., M.S.

Dentist

(Prosthodontics)

2200 BERGQUIST DR
SUITE 1, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX
ZIP 78236

(210) 292-6707

DR. JAMES STERLING LINDEMUTH DDS

Dentist

(General Practice)

2200 BERGQUIST DR
SUITE 1
LACKLAND A F B, TX
ZIP 78236

(210) 292-6345

DR. JULIE MICHELLE STOREY PH.D.

Psychologist

(Clinical)

2200 BERGQUIST DR
SUITE 1, ATTN CREDENTIALS (CMC)
LACKLAND A F B, TX
ZIP 78236

(210) 292-6707

MS. MYSTI MOORE PT

Physical Therapist

2200 BERGQUIST DR
ATTENTION CREDENTIALS (CMC)
LACKLAND A F B, TX
ZIP 78236

(210) 292-2095

DR. LOUIS D. ELDREDGE M.D.

Preventive Medicine

(Aerospace Medicine)

2200 BERGQUIST DR
ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX
ZIP 78236

(210) 536-6931

DR. STEPHEN GLENN WALLER MD

Ophthalmology

2200 BERGQUIST DR
SUITE 1
LACKLAND A F B, TX
ZIP 78236

(210) 292-6583

PATTI DALE WHCNP

Nurse Practitioner

(Women's Health)

2200 BERGQUIST DR
ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX
ZIP 78236

(210) 292-6152

BETH A. EWING CNM, WNNP

Advanced Practice Midwife

2200 BERGQUIST DR
SUITE 1, ATTN CREDENTIALS
LACKLAND A F B, TX
ZIP 78236

(210) 292-6206

DR. CHARLES A STULGA D.C.

Chiropractor

2200 BERGQUIST DR
STE. 1, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX
ZIP 78236

(210) 292-3715

DR. ALEX A DEPERALTA JR. D.D.S.

Dentist

(General Practice)

2200 BERGQUIST DR
SUITE 1
LACKLAND A F B, TX
ZIP 78236

(210) 292-7876

DR. DON ALLEN LAWRENCE D.O

Family Medicine

2200 BERGQUIST DR
ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX
ZIP 78236

(210) 292-6707

DR. DAVID FRANKLIN MURCHISON DDS, MMS

Dentist

(General Practice)

2200 BERGQUIST DR
ATTN: CREDENTIALS (CMC), SUITE 1
LACKLAND AFB, TX
ZIP 78236

(210) 292-6280

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730257429, enumerated as an "organization" on December 01, 2006.

The provider is located at 2200 BERGQUIST DR LACKLAND A F B, TX 78236 and the phone number is (210) 292-7361.

Exclusive Provider Organization with taxonomy code 302F00000X.