G. V. SONNY MONTGOMERY VA MEDICAL CENTER
NPI 1093170730
Military Hospital - Military General Acute Care Hospital in Jackson, MS
NPI Status: Active since December 23, 2015
Contact Information
1500 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216
Phone: (601) 362-4471
Fax: (601) 368-4089
- Organization
- Military Hospital
- Military General Acute Care Hospital
- CLIA Number: 25D0987268
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 05-22-2026
About G. V. SONNY MONTGOMERY VA MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for G. V. Sonny Montgomery Va Medical Center, a provider established in Jackson, Mississippi operating as a Military Hospital, focusing in military general acute care hospital . The healthcare provider is registered in the NPI registry with number 1093170730 assigned on December 2015. The practitioner's primary taxonomy code is 2865M2000X with license number 901359 (MS). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Andree Burnett M.d. (Chief Of Primary Care Services)
- NPI
- 1093170730
- Provider Name
- G. V. SONNY MONTGOMERY VA MEDICAL CENTER
- Entity Type
- Organization
- Location Address
- 1500 E WOODROW WILSON AVE JACKSON, MS 39216
- Location Phone
- (601) 362-4471
- Location Fax
- (601) 368-4089
- Mailing Address
- 1500 E WOODROW WILSON AVE JACKSON, MS 39216
- Mailing Phone
- (601) 362-4471
- Mailing Fax
- (601) 368-4089
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-23-2015
- Last Update Date
- 12-23-2015
- 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
Military Hospital Military General Acute Care Hospital
- Taxonomy Code
- 2865M2000X
- Type
- Hospitals
- License No.
- 901359
- License State
- MS
- Taxonomy Description
- A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in fixed facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A fixed facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as pass-through items.
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
- 25D0987268
- Facility Type
- Hospital
- Certificate Effective Date
- June 01, 2001
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- CLAY CALCOTE
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to G. V. Sonny Montgomery Va Medical Center 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 1093170730, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093170730, enumerated as an "organization" on December 23, 2015.
The provider is located at 1500 E WOODROW WILSON AVE JACKSON, MS 39216 and the phone number is (601) 362-4471.
Military Hospital with taxonomy code 2865M2000X and a focus in Military General Acute Care Hospital.
