NEWARK VA CLINIC
NPI 1720139371
Clinic/Center - VA in Newark, OH

NPI Status: Active since January 12, 2007

Contact Information

1855 W MAIN ST
NEWARK, OH
ZIP 43055
Phone: (608) 821-7200
Fax: (608) 821-7658

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  • Organization
  • Clinic/Center
  • VA
  • CLIA Number: 36D1018101
  • CLIA Cert. Type: Other - URGENT CARE
  • CLIA Exp. Date: 09-25-2026

About NEWARK VA CLINIC

This page provides the complete NPI Profile along with additional information for Newark Va Clinic, a provider established in Newark, Ohio operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1720139371 assigned on January 2007. 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 Newark Va Clinic. The authorized official of this NPI record is Erin Denise Potter (Npi Team)

NPI
1720139371
Provider Legal Name
COLUMBUS VA AMBULATORY CARE CENTER
Other Organization Name
NEWARK VA CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1855 W MAIN ST NEWARK, OH 43055
Location Phone
(608) 821-7200
Location Fax
(608) 821-7658
Mailing Address
PO BOX 94490 CLEVELAND, OH 44101
Mailing Phone
(608) 821-7200
Mailing Fax
(608) 821-7658
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-12-2007
Last Update Date
02-24-2023
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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 DENISE POTTER

Authorized Official Title
NPI TEAM
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
36D1018101
Facility Type
Other - URGENT CARE
Certificate Effective Date
September 26, 2024
Certificate Expiration Date
September 25, 2026
Laboratory Director
RYAN R. RISTOW
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Newark 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 1720139371, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
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 2 → 4 1 → 2 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 2 + 3 + 1 + 8 + 3 + 1 + 4 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1720139371.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Optometrist
1855 W MAIN ST
NEWARK, OH 43055
Registered Nurse (Ambulatory Care)
1855 W MAIN ST
NEWARK, OH 43055
Registered Nurse (Ambulatory Care)
1855 W MAIN ST
NEWARK, OH 43055
Licensed Practical Nurse
1855 W MAIN ST
NEWARK, OH 43055
Registered Nurse (Ambulatory Care)
1855 W MAIN ST
NEWARK, OH 43055
Registered Nurse (Ambulatory Care)
1855 W MAIN ST
NEWARK, OH 43055
Licensed Practical Nurse
1855 W MAIN ST
NEWARK, OH 43055
Nurse Practitioner (Psychiatric/Mental Health)
1855 W MAIN ST
NEWARK, OH 43055

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720139371, enumerated as an "organization" on January 12, 2007.

The provider is located at 1855 W MAIN ST NEWARK, OH 43055 and the phone number is (608) 821-7200.

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