LAKE JACKSON VA CBOC
NPI 1902186000
Clinic/Center - VA in Lake Jackson, TX
NPI Status: Active since August 19, 2011
Contact Information
208 OAK DR S
LAKE JACKSON, TX
ZIP 77566
Phone: (615) 355-3451
- Organization
- Clinic/Center
- VA
- CLIA Number: 45D2037946
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 05-22-2026
About LAKE JACKSON VA CBOC
This page provides the complete NPI Profile along with additional information for Lake Jackson Va Cboc, a provider established in Lake Jackson, Texas operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1902186000 assigned on August 2011. The practitioner's primary taxonomy code is 261QV0200X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's other name is Lake Jackson Va Cboc. The authorized official of this NPI record is Erin Potter (Npi Team Member)
- NPI
- 1902186000
- Provider Legal Name
- HOUSTON VAMC
- Other Organization Name
- LAKE JACKSON VA CBOC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 208 OAK DR S LAKE JACKSON, TX 77566
- Location Phone
- (615) 355-3451
- Mailing Address
- PO BOX 94495 CLEVELAND, OH 44101
- Mailing Phone
- (615) 355-3451
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-19-2011
- Last Update Date
- 09-29-2017
- 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
Clinic/Center VA
- Taxonomy Code
- 261QV0200X
- Type
- Ambulatory Health Care Facilities
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
- 45D2037946
- Facility Type
- Community Clinic
- Certificate Effective Date
- March 09, 2012
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- MICHAEL M. ITTMANN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Lake Jackson Va Cboc 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 1902186000, 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 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 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
LAKE JACKSON, TX 77566
LAKE JACKSON, TX 77566
LAKE JACKSON, TX 77566
LAKE JACKSON, TX 77566
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902186000, enumerated as an "organization" on August 19, 2011.
The provider is located at 208 OAK DR S LAKE JACKSON, TX 77566 and the phone number is (615) 355-3451.
Clinic/Center with taxonomy code 261QV0200X and a focus in VA.
