VA SOUTHERN OREGON
NPI 1124198999
Substance Abuse Rehabilitation Facility in White City, OR

NPI Status: Active since November 09, 2006

Contact Information

8495 CRATER LAKE HWY
WHITE CITY, OR
ZIP 97503
Phone: (541) 826-2111

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 38D0988128
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 05-22-2026

About VA SOUTHERN OREGON

This page provides the complete NPI Profile along with additional information for Va Southern Oregon, a provider established in White City, Oregon operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1124198999 assigned on November 2006. The practitioner's primary taxonomy code is 324500000X. 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 Wolfgang Laurence Agotta (Dual-diagnosis Therapist)

NPI
1124198999
Provider Name
VA SOUTHERN OREGON
Entity Type
Organization
Location Address
8495 CRATER LAKE HWY WHITE CITY, OR 97503
Location Phone
(541) 826-2111
Mailing Address
839 N MAIN ST ASHLAND, OR 97520
Mailing Phone
(541) 261-8349
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-09-2006
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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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

WOLFGANG LAURENCE AGOTTA

Authorized Official Title
DUAL-DIAGNOSIS THERAPIST
Authorized Official Phone
(541) 826-2111

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
38D0988128
Facility Type
Other
Certificate Effective Date
June 21, 2001
Certificate Expiration Date
May 22, 2026
Laboratory Director
ERIC GORANSON
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Va Southern Oregon 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 1124198999, 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 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
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 2 → 4 1 → 2 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 2 + 9 + 1 + 6 + 9 + 1 + 8 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1124198999.

Other Providers at the Same Location


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

Dentist (General Practice)
8495 CRATER LAKE HWY, DENTAL (160)
WHITE CITY, OR 97503
Nurse Practitioner (Family)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Family Medicine
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Counselor (Addiction (Substance Use Disorder))
8495 CRATER LAKE HWY, VA SORCC - SATP 116C
WHITE CITY, OR 97503
Counselor (Addiction (Substance Use Disorder))
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Counselor (Addiction (Substance Use Disorder))
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Counselor (Addiction (Substance Use Disorder))
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Recreation Therapist
8495 CRATER LAKE HWY, RECREATION SERVICE 11K
WHITE CITY, OR 97503
Pharmacist
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Kinesiotherapist
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Occupational Therapist
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Internal Medicine
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Specialist
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Pharmacist
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Nurse Practitioner (Family)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Pharmacist
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Psychologist (Clinical)
8495 CRATER LAKE HWY, PSYCHOLOGY SERVICE/116B
WHITE CITY, OR 97503
Internal Medicine
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Nurse Practitioner (Family)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Pharmacist
8495 CRATER LAKE HWY, 119
WHITE CITY, OR 97503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124198999, enumerated as an "organization" on November 09, 2006.

The provider is located at 8495 CRATER LAKE HWY WHITE CITY, OR 97503 and the phone number is (541) 826-2111.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.