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

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  • 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
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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

DR. CHAD GOSNELL O.D.

Authorized Official Title
CHIEF OF OPTOMETRY
Authorized Official Phone
(509) 434-7032

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.
1508278086
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25084716016
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 = 66

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

(509) 434-7000

MR. EDWARD JOHN MORROW CRNA

Nurse Anesthetist, Certified Registered

4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205

(509) 434-7000

MRS. TERESA BAILEY LICSW

Social Worker

4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205

(509) 434-6312

MARIA C CUENCO MD

Internal Medicine

4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205

(509) 434-7000

MATTHEW SCHOPFER RPH.

Pharmacist

(Pharmacotherapy)

4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205

(509) 434-7716

MR. THOMAS WAYNE RESER MSW, LICSW

Social Worker

(Clinical)

4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205

(509) 434-7766

MS. SALLY JANE TEE R.PH

Pharmacist

4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205

(509) 434-7944

MR. ROBERT E BOND PA-C

Physician Assistant

(Surgical)

4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205

(509) 434-7006

BECKY PENMAN PA-C

Physician Assistant

4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205

(509) 434-7620

COY LEE BARFIELD PA

Physician Assistant

(Medical)

4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205

(509) 434-7000

DENNIS LAROY TATMAN CRNA, MAE

Nurse Anesthetist, Certified Registered

4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205

(509) 434-7000

MS. KATHLEEN I GANS OTR

Occupational Therapist

4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205

(509) 434-7018

MR. THOMAS ELI DEHART

Physical Therapist

4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205

(509) 434-7018

PHILIP PATRICK ALFORD MD

Surgery

(Surgical Critical Care)

4815 N ASSEMBLY ST
DEPARTMENT OF SURGERY
SPOKANE, WA
ZIP 99205

(509) 434-7732

DR. PATRICIA L CLOUSE AUD

Audiologist

4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205

(509) 434-7251

MRS. TRACI LYNN ROSSELET PT

Physical Therapist

4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205

(509) 434-7688

MRS. PATRICIA J VANCURLER DPT

Physical Therapist

4815 N ASSEMBLY ST
MS 118- PHYSICAL THERAPY
SPOKANE, WA
ZIP 99205

(509) 434-7018

DR. DAVID L GIFFEN PH.D,

Psychologist

(Clinical)

4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205

(509) 434-7013

JOSEPH GERARD SIMPSON MS, CCC-A

Audiologist

4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205

(509) 434-7008

KENNETH ALLEN COGSWELL PHD

Psychologist

(Clinical)

4815 N ASSEMBLY ST
SPOKANE, WA
ZIP 99205

(509) 434-7013

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.