1. Home
  2. Directory
  3. Florida
  4. Palatka
  5. Clinic Center
  6. NPI Profile

PALATKA VA CBOC
NPI 1508172628
Clinic/Center - VA in Palatka, FL

Active since August 26, 2010CLIA 10D2013182 · Accreditation
400 N STATE ROAD 19, PALATKA, FL 32177(866) 793-4591 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Palatka Va Cboc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PALATKA VA CBOC (NPI 1508172628) is a healthcare organization registered as a va in Palatka, Florida and active in the NPI registry since August 2010. The organization holds an CLIA Accreditation certificate valid through September 30, 2026 and lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1508172628
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameGAINESVILLE VAMC
Location Address400 N STATE ROAD 19Palatka, FL 32177-2482
Mailing AddressPo Box 94468Cleveland, OH 44101-4468 · (866) 793-4591
Phone(866) 793-4591
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateAugust 26, 2010
Last NPPES UpdateMarch 28, 2023
NPPES CertifiedMarch 28, 2023
✔ NPI 1508172628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
400 N STATE ROAD 19, Palatka, FL 32177
Open in Google Maps ↗

Other Names 1

Other NamePalatka Va Cboc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 10D2013182

Palatka VA Cboc · Palatka, FL
Active · expires Sep 30, 2026
CLIA Number10D2013182
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 15, 2010
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorRobert W. Allan
Laboratory Phone(010) 101-1100
Laboratory LocationPalatka VA Cboc400 North State Road 19, Palatka, FL 32177
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KAREN RUTH OKELLY MD
Psychiatry & Neurology (Psychiatry)
400 N STATE ROAD 19, SUITE 48
PALATKA, FL 32177
Putnam County (386) 329-8800
DR. ANNE GORDON SCHIEFER PHARMD.
Pharmacist
400 N STATE ROAD 19, SUITE 48
PALATKA, FL 32177
Putnam County (386) 329-8830
DR. JOLLY BOSE M.D.
Family Medicine (Adult Medicine)
400 N STATE ROAD 19, SUITE 48
PALATKA, FL 32177
Putnam County (386) 329-8800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gainesville Vamc's NPI number?

The NPI number for Gainesville Vamc is 1508172628. It was assigned to this organization in the NPPES registry on August 26, 2010. The provider is also known as Palatka VA Cboc.

Where is Gainesville Vamc located?

Gainesville Vamc is located at 400 N State Road 19, Palatka, FL 32177. The listed phone number is (866) 793-4591.

What is Gainesville Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

Does Gainesville Vamc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D2013182) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gainesville Vamc was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.