CLEVELAND VAMC
NPI 1053702084
Clinic/Center - VA in Youngstown, OH

NPI Status: Active since February 12, 2015

Contact Information

1815 BELMONT AVE
YOUNGSTOWN, OH
ZIP 44504
Phone: (608) 821-7200
Fax: (608) 821-7658

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  • Organization
  • Clinic/Center
  • VA
  • CLIA Number: 36D1010839
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 03-24-2027

About CLEVELAND VAMC

This page provides the complete NPI Profile along with additional information for Cleveland Vamc, a provider established in Youngstown, Ohio operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1053702084 assigned on February 2015. The practitioner's primary taxonomy code is 261QV0200X. The provider is registered as an organization and their NPI record was last updated January 2026. The provider's . The authorized official of this NPI record is Erin Potter (Npi Team)

NPI
1053702084
Provider Legal Name
CLEVELAND VAMC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1815 BELMONT AVE YOUNGSTOWN, OH 44504
Location Phone
(608) 821-7200
Location Fax
(608) 821-7658
Mailing Address
PO BOX 94477 CLEVELAND, OH 44101
Mailing Phone
(608) 821-7200
Mailing Fax
(608) 821-7658
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-12-2015
Last Update Date
01-08-2026
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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
36D1010839
Facility Type
School/Student Health Service
Certificate Effective Date
March 25, 2025
Certificate Expiration Date
March 24, 2027
Laboratory Director
PHILIP A. FRAGASSI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cleveland Vamc 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 1053702084, 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 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
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 5 → 10 → 1 7 → 14 → 5 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 0 + 3 + 1 + 4 + 0 + 4 + 0 + 1 + 6 + 24 = 46

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

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1053702084.

Other Providers at the Same Location


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

Art Therapist
1815 BELMONT AVE
YOUNGSTOWN, OH 44504
Registered Nurse
1815 BELMONT AVE
YOUNGSTOWN, OH 44504
Nurse Practitioner (Psychiatric/Mental Health)
1815 BELMONT AVE
YOUNGSTOWN, OH 44504
Art Therapist
1815 BELMONT AVE
YOUNGSTOWN, OH 44504
Registered Nurse
1815 BELMONT AVE
YOUNGSTOWN, OH 44504
Registered Nurse
1815 BELMONT AVE
YOUNGSTOWN, OH 44504
Licensed Practical Nurse
1815 BELMONT AVE
YOUNGSTOWN, OH 44504
Licensed Practical Nurse
1815 BELMONT AVE
YOUNGSTOWN, OH 44504
Registered Nurse
1815 BELMONT AVE
YOUNGSTOWN, OH 44504
Registered Nurse
1815 BELMONT AVE
YOUNGSTOWN, OH 44504
Licensed Practical Nurse
1815 BELMONT AVE
YOUNGSTOWN, OH 44504
Registered Nurse
1815 BELMONT AVE
YOUNGSTOWN, OH 44504
Licensed Practical Nurse
1815 BELMONT AVE
YOUNGSTOWN, OH 44504
Licensed Practical Nurse
1815 BELMONT AVE
YOUNGSTOWN, OH 44504
Licensed Practical Nurse
1815 BELMONT AVE
YOUNGSTOWN, OH 44504
Registered Nurse (Ambulatory Care)
1815 BELMONT AVE
YOUNGSTOWN, OH 44504
Registered Nurse (Ambulatory Care)
1815 BELMONT AVE
YOUNGSTOWN, OH 44504
Registered Nurse (Case Management)
1815 BELMONT AVE
YOUNGSTOWN, OH 44504
Licensed Practical Nurse
1815 BELMONT AVE
YOUNGSTOWN, OH 44504
Licensed Practical Nurse
1815 BELMONT AVE
YOUNGSTOWN, OH 44504

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053702084, enumerated as an "organization" on February 12, 2015.

The provider is located at 1815 BELMONT AVE YOUNGSTOWN, OH 44504 and the phone number is (608) 821-7200.

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