LEBANON VAMC
NPI 1104911379
Military Hospital in Lebanon, PA

NPI Status: Active since October 04, 2006

Contact Information

1700 LINCOLN AVE
LEBANON, PA
ZIP 17042
Phone: (717) 272-6621

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  • Organization
  • Military Hospital
  • CLIA Number: 39D0987235
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 05-22-2026

About LEBANON VAMC

This page provides the complete NPI Profile along with additional information for Lebanon Vamc, a provider established in Lebanon, Pennsylvania operating as a Military Hospital. The healthcare provider is registered in the NPI registry with number 1104911379 assigned on October 2006. The practitioner's primary taxonomy code is 286500000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mrs. Lynette B Brady Ctrs (Recreation Therapist)

NPI
1104911379
Provider Name
LEBANON VAMC
Entity Type
Organization
Location Address
1700 LINCOLN AVE LEBANON, PA 17042
Location Phone
(717) 272-6621
Mailing Address
1700 LINCOLN AVE LEBANON, PA 17042
Mailing Phone
(717) 272-6621
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2006
Last Update Date
08-22-2020
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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

Military Hospital

Taxonomy Code
286500000X
Type
Hospitals
Taxonomy Description
A health care facility operated by the Department of Defense.

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

MRS. LYNETTE B BRADY CTRS

Authorized Official Title
RECREATION THERAPIST
Authorized Official Phone
(717) 272-6621

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
39D0987235
Facility Type
Hospital
Certificate Effective Date
May 31, 2001
Certificate Expiration Date
May 22, 2026
Laboratory Director
IRENE IBANEZ-MANLAPAZ
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Lebanon Vamc 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 1104911379, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
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 9 → 18 → 9 1 → 2 7 → 14 → 5

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 + 8 + 1 + 2 + 3 + 1 + 4 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1104911379.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104911379, enumerated as an "organization" on October 04, 2006.

The provider is located at 1700 LINCOLN AVE LEBANON, PA 17042 and the phone number is (717) 272-6621.

Military Hospital with taxonomy code 286500000X.