USCG AIRSTA TRAVERSE CITY CLINIC
NPI 1942384409
Clinic/Center - Health Service in Traverse City, MI

NPI Status: Active since October 24, 2006

Contact Information

1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI
ZIP 49686
Phone: (231) 922-8282
Fax: (231) 922-8292

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 23D0662679
  • CLIA Cert. Type: Other - USCG
  • CLIA Exp. Date: 07-31-2027

About USCG AIRSTA TRAVERSE CITY CLINIC

This page provides the complete NPI Profile along with additional information for Uscg Airsta Traverse City Clinic, a provider established in Traverse City, Michigan operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1942384409 assigned on October 2006. The practitioner's primary taxonomy code is 261QH0100X. 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 Dr. Kelly Louise Buttrick D.d.s. (Chief Health Services)

NPI
1942384409
Provider Name
USCG AIRSTA TRAVERSE CITY CLINIC
Entity Type
Organization
Location Address
1175 AIRPORT ACCESS RD TRAVERSE CITY, MI 49686
Location Phone
(231) 922-8282
Location Fax
(231) 922-8292
Mailing Address
1175 AIRPORT ACCESS RD TRAVERSE CITY, MI 49686
Mailing Phone
(231) 922-8282
Mailing Fax
(231) 922-8292
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-24-2006
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

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

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

DR. KELLY LOUISE BUTTRICK D.D.S.

Authorized Official Title
CHIEF HEALTH SERVICES
Authorized Official Phone
(231) 922-8282

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D0662679
Facility Type
Other - USCG
Certificate Effective Date
August 01, 2025
Certificate Expiration Date
July 31, 2027
Laboratory Director
CHRISTOPHER TROLLMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Uscg Airsta Traverse City Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1942384409, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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
9
Unchanged
Pos 3
4
Doubled → 8
Pos 4
2
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
9
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 4 → 8 3 → 6 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 8 + 2 + 6 + 8 + 8 + 4 + 0 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1942384409.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Technician, Other
1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI 49686
Technician, Other
1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI 49686
Technician, Other
1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI 49686
Technician, Other
1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI 49686
Military Health Care Provider (Independent Duty Corpsman)
1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI 49686
Technician, Other
1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI 49686
Military/U.S. Coast Guard Pharmacy
1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI 49686
Military Health Care Provider
1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI 49686
Family Medicine
1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI 49686
Exclusive Provider Organization
1175 AIRPORT ACCESS RD, FLIGHT MED CLINIC
TRAVERSE CITY, MI 49686
Clinic/Center (Military/U.S. Coast Guard Outpatient)
1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI 49686

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942384409, enumerated as an "organization" on October 24, 2006.

The provider is located at 1175 AIRPORT ACCESS RD TRAVERSE CITY, MI 49686 and the phone number is (231) 922-8282.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.