MANN GRANDSTAFF VA MEDICAL CENTER
NPI 1508278086
Clinic/Center - VA in Spokane, WA
NPI Status: Active since June 02, 2014
Contact Information
4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205
Phone: (509) 434-7000
- Organization
- Clinic/Center
- VA
- CLIA Number: 50D0988115
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 05-22-2026
About MANN GRANDSTAFF VA MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Mann Grandstaff Va Medical Center, a provider established in Spokane, Washington operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1508278086 assigned on June 2014. The practitioner's primary taxonomy code is 261QV0200X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Chad Gosnell O.d. (Chief Of Optometry)
- NPI
- 1508278086
- Provider Name
- MANN GRANDSTAFF VA MEDICAL CENTER
- Entity Type
- Organization
- Location Address
- 4815 N ASSEMBLY ST SPOKANE, WA 99205
- Location Phone
- (509) 434-7000
- Mailing Address
- 220 SPRINGFIELD DR HELENA, MT 59602
- Mailing Phone
- (509) 868-3895
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-02-2014
- Last Update Date
- 06-02-2014
- Code Navigator
Location Map
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
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
- 50D0988115
- Facility Type
- Hospital
- Certificate Effective Date
- June 20, 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 Mann Grandstaff Va Medical Center 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 5 | 0 | 8 | 2 | 7 | 8 | 0 | 8 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 0 | 8 | 4 | 7 | 16 | 0 | 16 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 0 + 8 + 4 + 7 + 1 + 6 + 0 + 1 + 6 + 24 = 64 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 64 = 6 | 6 |
The NPI number 1508278086 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MISS ROBERTA BARNES NURSE PRACTITIONER
Nurse Practitioner
(Family)
4815 N ASSEMBLY ST
DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER
SPOKANE, WA
ZIP 99205
MR. EDWARD JOHN MORROW CRNA
Nurse Anesthetist, Certified Registered
4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205
MRS. TERESA BAILEY LICSW
Social Worker
4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205
MARIA C CUENCO MD
Internal Medicine
4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205
MATTHEW SCHOPFER RPH.
Pharmacist
(Pharmacotherapy)
4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205
MR. THOMAS WAYNE RESER MSW, LICSW
Social Worker
(Clinical)
4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205
MS. SALLY JANE TEE R.PH
Pharmacist
4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205
MR. ROBERT E BOND PA-C
Physician Assistant
(Surgical)
4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205
BECKY PENMAN PA-C
Physician Assistant
4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205
COY LEE BARFIELD PA
Physician Assistant
(Medical)
4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205
DENNIS LAROY TATMAN CRNA, MAE
Nurse Anesthetist, Certified Registered
4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205
MS. KATHLEEN I GANS OTR
Occupational Therapist
4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205
MR. THOMAS ELI DEHART
Physical Therapist
4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205
PHILIP PATRICK ALFORD MD
Surgery
(Surgical Critical Care)
4815 N ASSEMBLY ST
DEPARTMENT OF SURGERY
SPOKANE, WA
ZIP 99205
DR. PATRICIA L CLOUSE AUD
Audiologist
4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205
MRS. TRACI LYNN ROSSELET PT
Physical Therapist
4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205
MRS. PATRICIA J VANCURLER DPT
Physical Therapist
4815 N ASSEMBLY ST
MS 118- PHYSICAL THERAPY
SPOKANE, WA
ZIP 99205
DR. DAVID L GIFFEN PH.D,
Psychologist
(Clinical)
4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205
JOSEPH GERARD SIMPSON MS, CCC-A
Audiologist
4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205
KENNETH ALLEN COGSWELL PHD
Psychologist
(Clinical)
4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508278086, enumerated as an "organization" on June 02, 2014.
The provider is located at 4815 N ASSEMBLY ST SPOKANE, WA 99205 and the phone number is (509) 434-7000.
Clinic/Center with taxonomy code 261QV0200X and a focus in VA.