GREEN VALLEY VA CBOC
NPI 1164477832
Clinic/Center - VA in Green Valley, AZ

NPI Status: Active since May 23, 2006

Contact Information

380 W VISTA HERMOSA DR
SUITE 140
GREEN VALLEY, AZ
ZIP 85614
Phone: (702) 341-3152

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  • Organization
  • Clinic/Center
  • VA
  • Accepts Insurance
  • CLIA Number: 03D1017074
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About GREEN VALLEY VA CBOC

This page provides the complete NPI Profile along with additional information for Green Valley Va Cboc, a provider established in Green Valley, Arizona operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1164477832 assigned on May 2006. The practitioner's primary taxonomy code is 261QV0200X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's other name is Green Valley Va Cboc. The authorized official of this NPI record is Erin Potter (Npi Team Member)

NPI
1164477832
Provider Legal Name
TUCSON VAMC
Other Organization Name
GREEN VALLEY VA CBOC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
380 W VISTA HERMOSA DR SUITE 140 GREEN VALLEY, AZ 85614
Location Phone
(702) 341-3152
Mailing Address
PO BOX 94422 CLEVELAND, OH 44101
Mailing Phone
(702) 341-3152
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-23-2006
Last Update Date
11-15-2017
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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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • AZ Blue AdvanceHealth Bronze Focus (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Bronze Neighborhood (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Gold Focus (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Gold Neighborhood (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Silver Focus (4 Free PCP Visits) - HMO
  • AZ Blue AdvanceHealth Silver Neighborhood (4 Free PCP Visits) - HMO
  • AZ Blue EverydayHealth Gold Focus (1 Free PCP Visit) - HMO
  • AZ Blue EverydayHealth Gold Neighborhood (1 Free PCP Visit) - HMO
  • AZ Blue EverydayHealth Silver Focus (1 Free PCP Visit) - HMO
  • AZ Blue EverydayHealth Silver Neighborhood (1 Free PCP Visit) - HMO
  • AZ Blue Portfolio Bronze HSA Focus - HMO
  • AZ Blue Portfolio Bronze HSA Neighborhood - HMO
  • AZ Blue StandardHealth Bronze Focus - HMO
  • AZ Blue StandardHealth Bronze Neighborhood - HMO
  • AZ Blue StandardHealth Gold Focus - HMO
  • AZ Blue StandardHealth Gold Neighborhood - HMO
  • AZ Blue StandardHealth Silver Focus - HMO
  • AZ Blue StandardHealth Silver Neighborhood - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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
03D1017074
Facility Type
Community Clinic
Certificate Effective Date
September 16, 2003
Certificate Expiration Date
May 22, 2026
Laboratory Director
JAMES KLUTTS
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Green Valley Va Cboc 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.

Reviews for GREEN VALLEY VA CBOC

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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 1164477832, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
2
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 6 → 12 → 3 4 → 8 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 2 + 4 + 8 + 7 + 1 + 4 + 8 + 6 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1164477832.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Nurse Practitioner (Adult Health)
380 W VISTA HERMOSA DR, SUITE 140
GREEN VALLEY, AZ 85614
Nurse Practitioner (Family)
380 W VISTA HERMOSA DR, 140
GREEN VALLEY, AZ 85614
Chiropractor
380 W VISTA HERMOSA DR, #100
GREEN VALLEY, AZ 85614
Chiropractor
380 W VISTA HERMOSA DR, SUITE #100
GREEN VALLEY, AZ 85614
Chiropractor
380 W VISTA HERMOSA DR, #100
GREEN VALLEY, AZ 85614
Internal Medicine
380 W VISTA HERMOSA DR, STE 140
GREEN VALLEY, AZ 85614
General Practice
380 W VISTA HERMOSA DR
GREEN VALLEY, AZ 85614

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164477832, enumerated as an "organization" on May 23, 2006.

The provider is located at 380 W VISTA HERMOSA DR SUITE 140 GREEN VALLEY, AZ 85614 and the phone number is (702) 341-3152.

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

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona. Please consult your insurance carrier or call the provider to verify.