GREENVILLE VA CBOC
NPI 1104865211
Clinic/Center - VA in Greenville, SC

NPI Status: Active since June 05, 2006

Contact Information

41 PARK CREEK DR
GREENVILLE, SC
ZIP 29605
Phone: (828) 257-2333

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  • Organization
  • Clinic/Center
  • VA

About GREENVILLE VA CBOC

This page provides the complete NPI Profile along with additional information for Greenville Va Cboc, a provider established in Greenville, South Carolina operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1104865211 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 7 years ago. The provider's other name is Greenville Va Cboc. The authorized official of this NPI record is Erin Potter (Npi Team Member)

NPI
1104865211
Provider Legal Name
COLUMBIA VAMC
Other Organization Name
GREENVILLE VA CBOC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
41 PARK CREEK DR GREENVILLE, SC 29605
Location Phone
(828) 257-2333
Mailing Address
PO BOX 89478 CLEVELAND, OH 44101
Mailing Phone
(828) 257-2333
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-05-2006
Last Update Date
04-17-2018
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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

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104865211
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21041661022
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 6 + 6 + 1 + 0 + 2 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1104865211 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

ALISON DIANE GRUBBS DMD

Dentist

41 PARK CREEK DR
DENTAL SERVICES
GREENVILLE, SC
ZIP 29605

(864) 299-1600

DANA RONCONI LISW-CP

Social Worker

(Clinical)

41 PARK CREEK DR
GREENVILLE, SC
ZIP 29605

(864) 299-1600

JONATHAN MANTOOTH D.P.T

Physical Therapist

41 PARK CREEK DR
GREENVILLE, SC
ZIP 29605

(864) 299-1600

MS. DEBORAH KAY BIGGERSTAFF RPH, MS, PD

Pharmacist

41 PARK CREEK DR
GREENVILLE, SC
ZIP 29605

(864) 299-1600

DR. LAMONICA NICOLE CRUMP

Pharmacist

(Pharmacotherapy)

41 PARK CREEK DR
GREENVILLE, SC
ZIP 29605

(864) 299-1600

DR. SHALONIE ROCHELLE SULLIVAN PHARMD, BCACP

Pharmacist

(Ambulatory Care)

41 PARK CREEK DR
GOPC: PHARMACY DEPT
GREENVILLE, SC
ZIP 29605

(864) 299-1600

MRS. ASHLEY N CASTELVECCHI PHARMD

Pharmacist

(Geriatric)

41 PARK CREEK DR
PHARMACY-119
GREENVILLE, SC
ZIP 29605

(864) 299-1600

JACK MIXON RKT

Kinesiotherapist

41 PARK CREEK DR
GREENVILLE, SC
ZIP 29605

(864) 299-1600

SHAUNA LYNN HENSON OTR/L

Occupational Therapist

(Physical Rehabilitation)

41 PARK CREEK DR
GREENVILLE, SC
ZIP 29605

(864) 299-1600

MS. APRIL KEEN RD

Nutritionist

41 PARK CREEK DR
GREENVILLE, SC
ZIP 29605

(864) 299-1600

DR. NURUL MOHAMMED ISLAM M.D.

Family Medicine

41 PARK CREEK DR
GREENVILLE VA OUTPATIENT CLINIC
GREENVILLE, SC
ZIP 29605

(864) 299-1600

DR. TINA OLIVIAE KEENE AU.D.

Audiologist

41 PARK CREEK DR
GREENVILLE, SC
ZIP 29605

(864) 299-1600

CALLIE WOLF

Dietitian, Registered

41 PARK CREEK DR
GREENVILLE, SC
ZIP 29605

(330) 509-2268

MICHAEL JAMES SMITH DDS

Dentist

(Prosthodontics)

41 PARK CREEK DR
GREENVILLE, SC
ZIP 29605

(864) 422-2616

MS. CAROL ANNE DIETRICH P.T.

Physical Therapist

41 PARK CREEK DR
GREENVILLE, SC
ZIP 29605

(864) 299-1600

DR. MARC TARO ISHIZUKA D.O.

Psychiatry & Neurology

(Psychiatry)

41 PARK CREEK DR
VA OUTPATIENT CLINIC IN GREENVILLE
GREENVILLE, SC
ZIP 29605

(864) 299-1600

DR. KEVIN IRMITER PH.D.

Psychologist

(Counseling)

41 PARK CREEK DR
GREENVILLE, SC
ZIP 29605

(864) 299-1600

DR. KATIE JO KRIEGER AU.D

Audiologist

41 PARK CREEK DR
GREENVILLE, SC
ZIP 29605

(864) 299-1600

MR. JAMES CAPOBIANCO LCSW, LISW-CP

Social Worker

(Clinical)

41 PARK CREEK DR
GREENVILLE, SC
ZIP 29605

(864) 299-1600

GRETCHEN KANEB

Family Medicine

41 PARK CREEK DR
GREENVILLE, SC
ZIP 29605

(864) 299-1600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104865211, enumerated as an "organization" on June 05, 2006.

The provider is located at 41 PARK CREEK DR GREENVILLE, SC 29605 and the phone number is (828) 257-2333.

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