AMARILLO VA HEALTH CARE SYSTEM
NPI 1104807940
Clinic/Center in Amarillo, TX

NPI Status: Active since November 09, 2005

Contact Information

6010 W AMARILLO BLVD
AMARILLO, TX
ZIP 79106
Phone: (806) 355-9703

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  • Organization
  • Clinic/Center
  • CLIA Number: 45D0987888
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 05-22-2026

About AMARILLO VA HEALTH CARE SYSTEM

This page provides the complete NPI Profile along with additional information for Amarillo Va Health Care System, a provider established in Amarillo, Texas operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1104807940 assigned on November 2005. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Byron K Jaqua Fache (Director)

NPI
1104807940
Provider Name
AMARILLO VA HEALTH CARE SYSTEM
Entity Type
Organization
Location Address
6010 W AMARILLO BLVD AMARILLO, TX 79106
Location Phone
(806) 355-9703
Mailing Address
6010 W AMARILLO BLVD AMARILLO, TX 79106
Mailing Phone
(806) 355-9703
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-09-2005
Last Update Date
06-13-2008
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

MR. BYRON K JAQUA FACHE

Authorized Official Title
DIRECTOR
Authorized Official Phone
(806) 355-9703

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
45D0987888
Facility Type
Hospital
Certificate Effective Date
June 15, 2001
Certificate Expiration Date
May 22, 2026
Laboratory Director
ANTHONY BENDERMAN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Amarillo Va Health Care System 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 1104807940, 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
4
Doubled → 8
Check
0
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 0 → 0 8 → 16 → 7 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 1 + 6 + 0 + 1 + 4 + 9 + 8 + 24 = 60

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.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1104807940.

Other Providers at the Same Location


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

Pharmacist (Pharmacotherapy)
6010 W AMARILLO BLVD
AMARILLO, TX 79106
Pharmacist (Pharmacotherapy)
6010 W AMARILLO BLVD
AMARILLO, TX 79106
Pharmacist (Pharmacotherapy)
6010 W AMARILLO BLVD, AMARILLO VA HEALTH CARE SYSTEM (119)
AMARILLO, TX 79106
Pharmacist (Pharmacotherapy)
6010 W AMARILLO BLVD
AMARILLO, TX 79106
Audiologist
6010 W AMARILLO BLVD, 4154
AMARILLO, TX 79106
Pharmacist
6010 W AMARILLO BLVD
AMARILLO, TX 79106
Pharmacist
6010 W AMARILLO BLVD
AMARILLO, TX 79106
Pharmacist
6010 W AMARILLO BLVD
AMARILLO, TX 79106
Pharmacist
6010 W AMARILLO BLVD
AMARILLO, TX 79106
Pharmacist
6010 W AMARILLO BLVD
AMARILLO, TX 79106
Pharmacist
6010 W AMARILLO BLVD
AMARILLO, TX 79106
Pharmacist
6010 W AMARILLO BLVD
AMARILLO, TX 79106
Family Medicine
6010 W AMARILLO BLVD
AMARILLO, TX 79106
Pharmacist
6010 W AMARILLO BLVD, #119
AMARILLO, TX 79106
Nurse Practitioner
6010 W AMARILLO BLVD
AMARILLO, TX 79106
Nurse Practitioner
6010 W AMARILLO BLVD
AMARILLO, TX 79106
Psychologist (Clinical)
6010 W AMARILLO BLVD
AMARILLO, TX 79106
Family Medicine (Geriatric Medicine)
6010 W AMARILLO BLVD
AMARILLO, TX 79106
Nurse Practitioner (Family)
6010 W AMARILLO BLVD
AMARILLO, TX 79106
Psychiatry & Neurology (Psychiatry)
6010 W AMARILLO BLVD
AMARILLO, TX 79106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104807940, enumerated as an "organization" on November 09, 2005.

The provider is located at 6010 W AMARILLO BLVD AMARILLO, TX 79106 and the phone number is (806) 355-9703.

Clinic/Center with taxonomy code 261Q00000X.