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

NPI Status: Active since August 26, 2010

Contact Information

400 N STATE ROAD 19
PALATKA, FL
ZIP 32177
Phone: (866) 793-4591

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  • Organization
  • Clinic/Center
  • VA
  • CLIA Number: 10D2013182
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About PALATKA VA CBOC

This page provides the complete NPI Profile along with additional information for Palatka Va Cboc, a provider established in Palatka, Florida operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1508172628 assigned on August 2010. The practitioner's primary taxonomy code is 261QV0200X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Palatka Va Cboc. The authorized official of this NPI record is Erin Potter (Npi Team Member)

NPI
1508172628
Provider Legal Name
GAINESVILLE VAMC
Other Organization Name
PALATKA VA CBOC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
400 N STATE ROAD 19 PALATKA, FL 32177
Location Phone
(866) 793-4591
Mailing Address
PO BOX 94468 CLEVELAND, OH 44101
Mailing Phone
(866) 793-4591
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-26-2010
Last Update Date
03-28-2023
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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

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
10D2013182
Facility Type
Community Clinic
Certificate Effective Date
September 15, 2010
Certificate Expiration Date
May 22, 2026
Laboratory Director
ROBERT W. ALLAN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Palatka 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.

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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 1508172628, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
8
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 1 → 2 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 0 + 8 + 2 + 7 + 4 + 6 + 4 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1508172628.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Family Medicine (Adult Medicine)
400 N STATE ROAD 19, SUITE 48
PALATKA, FL 32177
Pharmacist
400 N STATE ROAD 19, SUITE 48
PALATKA, FL 32177
Psychiatry & Neurology (Psychiatry)
400 N STATE ROAD 19, SUITE 48
PALATKA, FL 32177

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508172628, enumerated as an "organization" on August 26, 2010.

The provider is located at 400 N STATE ROAD 19 PALATKA, FL 32177 and the phone number is (866) 793-4591.

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