OSWEGO VA CLINIC
NPI 1104864743
Clinic/Center - VA in Oswego, NY

NPI Status: Active since June 04, 2006

Contact Information

293 STATE ROUTE 104 STE 70
OSWEGO, NY
ZIP 13126
Phone: (717) 277-6565

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  • Organization
  • Clinic/Center
  • VA
  • CLIA Number: 33D2015733
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 03-26-2027

About OSWEGO VA CLINIC

This page provides the complete NPI Profile along with additional information for Oswego Va Clinic, a provider established in Oswego, New York operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1104864743 assigned on June 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 Oswego Va Clinic. The authorized official of this NPI record is Erin Potter (Npi Team Member)

NPI
1104864743
Provider Legal Name
BUFFALO VAMC
Other Organization Name
OSWEGO VA CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
293 STATE ROUTE 104 STE 70 OSWEGO, NY 13126
Location Phone
(717) 277-6565
Mailing Address
PO BOX 94434 CLEVELAND, OH 44101
Mailing Phone
(717) 277-6565
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-04-2006
Last Update Date
01-10-2023
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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 MEMBER
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
33D2015733
Facility Type
Community Clinic
Certificate Effective Date
November 03, 2010
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. CHERYL MATTERN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Oswego Va Clinic 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 1104864743, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
4
Doubled → 8
Check
3
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 4 → 8 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 + 6 + 8 + 7 + 8 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1104864743.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104864743, enumerated as an "organization" on June 04, 2006.

The provider is located at 293 STATE ROUTE 104 STE 70 OSWEGO, NY 13126 and the phone number is (717) 277-6565.

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