JACK C. MONTGOMERY VA MEDICAL CENTER
NPI 1891682753
Nursing Care in Muskogee, OK
NPI Status: Active since June 23, 2025
Contact Information
1011 HONOR HEIGHTS DR
MUSKOGEE, OK
ZIP 74401
Phone: (918) 577-3551
- Organization
- Nursing Care
- CLIA Number: 37D0987997
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 05-22-2026
About JACK C. MONTGOMERY VA MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Jack C. Montgomery Va Medical Center, a provider established in Muskogee, Oklahoma operating as a Nursing Care. The healthcare provider is registered in the NPI registry with number 1891682753 assigned on June 2025. The practitioner's primary taxonomy code is 251J00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mrs. Devin Taylor Trevino Rn (Registered Nurse)
- NPI
- 1891682753
- Provider Name
- JACK C. MONTGOMERY VA MEDICAL CENTER
- Entity Type
- Organization
- Location Address
- 1011 HONOR HEIGHTS DR MUSKOGEE, OK 74401
- Location Phone
- (918) 577-3551
- Mailing Address
- 1011 HONOR HEIGHTS DR MUSKOGEE, OK 74401
- Mailing Phone
- (918) 577-3551
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-23-2025
- Last Update Date
- 06-23-2025
- 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
Nursing Care
- Taxonomy Code
- 251J00000X
- Type
- Agencies
- Taxonomy Description
- A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
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
- 37D0987997
- Facility Type
- Hospital
- Certificate Effective Date
- June 19, 2001
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- KANE WALSH
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Jack C. Montgomery Va Medical Center 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 1891682753, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
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 67 is 70. 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.
MUSKOGEE, OK 74401
MUSKOGEE, OK 74401
MUSKOGEE, OK 74401
MUSKOGEE, OK 74401
MUSKOGEE, OK 74401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891682753, enumerated as an "organization" on June 23, 2025.
The provider is located at 1011 HONOR HEIGHTS DR MUSKOGEE, OK 74401 and the phone number is (918) 577-3551.
Nursing Care with taxonomy code 251J00000X.
