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JACKSONVILLE 1 VA CLINIC
NPI 1821464314
Clinic/Center - VA in Jacksonville, FL

Active since August 19, 2015
3901 UNIVERSITY BLVD. SOUTH, JACKSONVILLE, FL 32216(866) 793-4591 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Jacksonville 1 Va Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSONVILLE 1 VA CLINIC (NPI 1821464314) is a healthcare organization registered as a va in Jacksonville, Florida and active in the NPI registry since August 2015. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1821464314
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameGAINESVILLE VAMC
Location Address3901 UNIVERSITY BLVD. SOUTHJacksonville, FL 32216-4312
Mailing AddressPo Box 94468Cleveland, OH 44101-4468 · (866) 793-4591
Phone(866) 793-4591
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateAugust 19, 2015
Last NPPES UpdateMarch 28, 2023
NPPES CertifiedMarch 28, 2023
✔ NPI 1821464314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
3901 UNIVERSITY BLVD. SOUTH, Jacksonville, FL 32216
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Other Names 1

Other NameJacksonville 1 Va Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 10D2100874

Jacksonville VA University Opc · Jacksonville, FL
Expired · Sep 30, 2026
CLIA Number10D2100874
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 24, 2015
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorRobert Allan
Laboratory Phone(508) 632-8424
Laboratory LocationJacksonville VA University Opc3901 University Blvd S, Jacksonville, FL 32216
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gainesville Vamc's NPI number?

The NPI number for Gainesville Vamc is 1821464314. It was assigned to this organization in the NPPES registry on August 19, 2015. The provider is also known as Jacksonville 1 VA Clinic.

Where is Gainesville Vamc located?

Gainesville Vamc is located at 3901 University Blvd. South, Jacksonville, FL 32216. The listed phone number is (866) 793-4591.

What is Gainesville Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

When was this NPI record last updated?

The NPPES record for Gainesville Vamc was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.