EVANSTON VA CBOC
NPI 1013962554
Clinic/Center - VA in Evanston, IL

NPI Status: Active since May 23, 2006

Contact Information

1942 DEMPSTER ST
EVANSTON, IL
ZIP 60202
Phone: (608) 821-7200
Fax: (608) 821-7658

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  • Organization
  • Clinic/Center
  • VA
  • CLIA Number: 14D1065911
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About EVANSTON VA CBOC

This page provides the complete NPI Profile along with additional information for Evanston Va Cboc, a provider established in Evanston, Illinois operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1013962554 assigned on May 2006. The practitioner's primary taxonomy code is 261QV0200X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Evanston Va Cboc. The authorized official of this NPI record is Erin Potter (Npi Team)

NPI
1013962554
Provider Legal Name
JAMES A LOVELL FEDERAL HEALTH CARE CENTER
Other Organization Name
EVANSTON VA CBOC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1942 DEMPSTER ST EVANSTON, IL 60202
Location Phone
(608) 821-7200
Location Fax
(608) 821-7658
Mailing Address
PO BOX 94481 CLEVELAND, OH 44101
Mailing Phone
(608) 821-7200
Mailing Fax
(608) 821-7658
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-23-2006
Last Update Date
02-23-2023
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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 VA

Taxonomy Code
261QV0200X
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

ERIN POTTER

Authorized Official Title
NPI TEAM
Authorized Official Phone
(202) 382-2579

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
14D1065911
Facility Type
Community Clinic
Certificate Effective Date
March 12, 2007
Certificate Expiration Date
May 22, 2026
Laboratory Director
JOSHUA BUSS
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Evanston Va Cboc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1013962554, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
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 1 → 2 9 → 18 → 9 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 + 0 + 2 + 3 + 1 + 8 + 6 + 4 + 5 + 1 + 0 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1013962554.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
1942 DEMPSTER ST
EVANSTON, IL 60202
Licensed Practical Nurse
1942 DEMPSTER ST
EVANSTON, IL 60202
Registered Nurse (Ambulatory Care)
1942 DEMPSTER ST
EVANSTON, IL 60202
Licensed Practical Nurse
1942 DEMPSTER ST
EVANSTON, IL 60202
Registered Nurse (Psychiatric/Mental Health)
1942 DEMPSTER ST
EVANSTON, IL 60202
Licensed Practical Nurse
1942 DEMPSTER ST
EVANSTON, IL 60202
Licensed Practical Nurse
1942 DEMPSTER ST
EVANSTON, IL 60202
Registered Nurse
1942 DEMPSTER ST
EVANSTON, IL 60202
Registered Nurse
1942 DEMPSTER ST
EVANSTON, IL 60202
Psychiatry & Neurology (Psychiatry)
1942 DEMPSTER ST
EVANSTON, IL 60202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013962554, enumerated as an "organization" on May 23, 2006.

The provider is located at 1942 DEMPSTER ST EVANSTON, IL 60202 and the phone number is (608) 821-7200.

Clinic/Center with taxonomy code 261QV0200X and a focus in VA.