JESSE BROWN VETERANS ADMINISTRATION HOSPITAL
NPI 1679561260
General Acute Care Hospital - Critical Access in Chicago, IL
NPI Status: Active since October 09, 2005
Contact Information
820 S DAMEN AVE
CHICAGO, IL
ZIP 60612
Phone: (312) 569-6123
Fax: (312) 569-8102
- Organization
- General Acute Care Hospital
- Critical Access
- CLIA Number: 14D0988057
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 05-22-2026
About JESSE BROWN VETERANS ADMINISTRATION HOSPITAL
This page provides the complete NPI Profile along with additional information for Jesse Brown Veterans Administration Hospital, a provider established in Chicago, Illinois operating as a General Acute Care Hospital, focusing in critical access . The healthcare provider is registered in the NPI registry with number 1679561260 assigned on October 2005. The practitioner's primary taxonomy code is 282NC0060X with license number 036066117 (IL). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Dr. Farida Ahmed M.d. (Staff Radiologist)
- NPI
- 1679561260
- Provider Name
- JESSE BROWN VETERANS ADMINISTRATION HOSPITAL
- Entity Type
- Organization
- Location Address
- 820 S DAMEN AVE CHICAGO, IL 60612
- Location Phone
- (312) 569-6123
- Location Fax
- (312) 569-8102
- Mailing Address
- 950 N CLARK ST UNIT K., CHICAGO, IL 60610
- Mailing Phone
- (312) 280-1840
- Mailing Fax
- (312) 569-8102
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-09-2005
- Last Update Date
- 07-21-2008
- 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
General Acute Care Hospital Critical Access
- Taxonomy Code
- 282NC0060X
- Type
- Hospitals
- License No.
- 036066117
- License State
- IL
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
- 14D0988057
- Facility Type
- Hospital
- Certificate Effective Date
- June 19, 2001
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- SHOUJIN WU
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Jesse Brown Veterans Administration Hospital 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 1679561260, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
CHICAGO, IL 60612
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679561260, enumerated as an "organization" on October 09, 2005.
The provider is located at 820 S DAMEN AVE CHICAGO, IL 60612 and the phone number is (312) 569-6123.
General Acute Care Hospital with taxonomy code 282NC0060X and a focus in Critical Access.
