BOWLING GREEN VA CLINIC
NPI 1639120215
Clinic/Center - VA in Bowling Green, KY

NPI Status: Active since May 16, 2006

Contact Information

600 US 31 WEST BYPASS
SUITE 12
BOWLING GREEN, KY
ZIP 42101
Phone: (615) 355-3451

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  • Organization
  • Clinic/Center
  • VA
  • CLIA Number: 18D2075842
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 04-06-2028

About BOWLING GREEN VA CLINIC

This page provides the complete NPI Profile along with additional information for Bowling Green Va Clinic, a provider established in Bowling Green, Kentucky operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1639120215 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 Bowling Green Va Clinic. The authorized official of this NPI record is Erin Potter (Npi Team Member)

NPI
1639120215
Provider Legal Name
NASHVILLE VAMC
Other Organization Name
BOWLING GREEN VA CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
600 US 31 WEST BYPASS SUITE 12 BOWLING GREEN, KY 42101
Location Phone
(615) 355-3451
Mailing Address
PO BOX 94525 CLEVELAND, OH 44101
Mailing Phone
(615) 355-3451
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-16-2006
Last Update Date
08-31-2017
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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

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
18D2075842
Facility Type
Community Clinic
Certificate Effective Date
April 07, 2026
Certificate Expiration Date
April 06, 2028
Laboratory Director
DR. JAMES LACOCK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bowling Green Va Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1639120215, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 6 + 9 + 2 + 2 + 0 + 2 + 2 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1639120215.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639120215, enumerated as an "organization" on May 16, 2006.

The provider is located at 600 US 31 WEST BYPASS SUITE 12 BOWLING GREEN, KY 42101 and the phone number is (615) 355-3451.

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