EBH 3RD BCT CLINIC-DRUM
NPI 1962823575
Clinic/Center - Military/U.S. Coast Guard Outpatient in Fort Drum, NY

NPI Status: Active since December 27, 2013

Contact Information

11050 MOUNT BELEDERE BLVD
FORT DRUM, NY
ZIP 13602
Phone: (315) 772-0977

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  • Organization
  • Clinic/Center
  • Military/U.S. Coast Guard Outpatient

About EBH 3RD BCT CLINIC-DRUM

This page provides the complete NPI Profile along with additional information for Ebh 3rd Bct Clinic-drum, a provider established in Fort Drum, New York operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1962823575 assigned on December 2013. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Ebh 3rd Bct Clinic-drum. The authorized official of this NPI record is Nancy Draper (Acting Ubo Manager)

NPI
1962823575
Provider Legal Name
GUTHRIE AHC
Other Organization Name
EBH 3RD BCT CLINIC-DRUM
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
11050 MOUNT BELEDERE BLVD FORT DRUM, NY 13602
Location Phone
(315) 772-0977
Mailing Address
11050 MOUNT BELVEDERE BLVD C/O UBO FORT DRUM, NY 13602
Mailing Phone
(315) 772-4033
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-27-2013
Last Update Date
04-20-2015
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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 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.

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

NANCY DRAPER

Authorized Official Title
ACTING UBO MANAGER
Authorized Official Phone
(315) 772-1755

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
VAD000MEDICARE UPIN (02) 
OTH000MEDICARE UPIN (02) 

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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 1962823575, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
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 6 → 12 → 3 8 → 16 → 7 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 2 + 2 + 1 + 6 + 2 + 6 + 5 + 1 + 4 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1962823575.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962823575, enumerated as an "organization" on December 27, 2013.

The provider is located at 11050 MOUNT BELEDERE BLVD FORT DRUM, NY 13602 and the phone number is (315) 772-0977.

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.