SONNY MONTGOMER VAMC
NPI 1851730121
Special Hospital in Jackson, MS
NPI Status: Active since June 20, 2013
Contact Information
1500 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216
Phone: (601) 362-4471
- Organization
- Special Hospital
- CLIA Number: 25D0987268
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 05-22-2026
About SONNY MONTGOMER VAMC
This page provides the complete NPI Profile along with additional information for Sonny Montgomer Vamc, a provider established in Jackson, Mississippi operating as a Special Hospital. The healthcare provider is registered in the NPI registry with number 1851730121 assigned on June 2013. The practitioner's primary taxonomy code is 284300000X with license number C6323 (MS). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Micah Dickson Taylor Lcsw (Outpatient Lcsw)
- NPI
- 1851730121
- Provider Name
- SONNY MONTGOMER VAMC
- Entity Type
- Organization
- Location Address
- 1500 E WOODROW WILSON AVE JACKSON, MS 39216
- Location Phone
- (601) 362-4471
- Mailing Address
- 1500 E WOODROW WILSON AVE JACKSON, MS 39216
- Mailing Phone
- (601) 362-4471
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-20-2013
- Last Update Date
- 06-20-2013
- 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
Special Hospital
- Taxonomy Code
- 284300000X
- Type
- Hospitals
- License No.
- C6323
- License State
- MS
- Taxonomy Description
- A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.
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
- 25D0987268
- Facility Type
- Hospital
- Certificate Effective Date
- June 01, 2001
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- CELESTE COOK-GLENN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Sonny Montgomer Vamc 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 1851730121, 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 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.
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 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851730121, enumerated as an "organization" on June 20, 2013.
The provider is located at 1500 E WOODROW WILSON AVE JACKSON, MS 39216 and the phone number is (601) 362-4471.
Special Hospital with taxonomy code 284300000X.
