BRANCH MEDICAL CLINIC EDSON RANGE
NPI 1912100983
Clinic/Center - Military/U.S. Coast Guard Outpatient in Camp Pendleton, CA
NPI Status: Active since June 07, 2007
Contact Information
STUART MESA RD, BLDG 310514
BOX 555191
CAMP PENDLETON, CA
ZIP 92055
Phone: (760) 725-1621
Fax: (760) 725-1661
- Organization
- Clinic/Center
- Military/U.S. Coast Guard Outpatient
About BRANCH MEDICAL CLINIC EDSON RANGE
This page provides the complete NPI Profile along with additional information for Branch Medical Clinic Edson Range, a provider established in Camp Pendleton, California operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1912100983 assigned on June 2007. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is William M Condon (Bumed Ubo)
- NPI
- 1912100983
- Provider Name
- BRANCH MEDICAL CLINIC EDSON RANGE
- Entity Type
- Organization
- Location Address
- STUART MESA RD, BLDG 310514 BOX 555191 CAMP PENDLETON, CA 92055
- Location Phone
- (760) 725-1621
- Location Fax
- (760) 725-1661
- Mailing Address
- PO BOX 555191 FIN MGMT CODE 0814 CAMP PENDLETON, CA 92055
- Mailing Phone
- (760) 725-1621
- Mailing Fax
- (760) 725-1661
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-07-2007
- Last Update Date
- 10-16-2017
- Code Navigator
Location Map
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.
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 |
|---|---|---|---|
| 1386604387 | OTHER (01) | CA | PARENT FACILITY 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. | |||||||||
| 1 | 9 | 1 | 2 | 1 | 0 | 0 | 9 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 2 | 2 | 2 | 0 | 0 | 9 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 2 + 2 + 2 + 0 + 0 + 9 + 1 + 6 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1912100983 is valid because the calculated check digit 3 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 1912100983, enumerated as an "organization" on June 07, 2007.
The provider is located at STUART MESA RD, BLDG 310514 BOX 555191 CAMP PENDLETON, CA 92055 and the phone number is (760) 725-1621.
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.
