SONNY MONTGOMERY V A M EDICAL CENTER
NPI 1013014695
Chronic Disease Hospital in Jackson, MS
NPI Status: Active since September 17, 2006
Contact Information
1500 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216
Phone: (601) 362-4471
- Organization
- Chronic Disease Hospital
About SONNY MONTGOMERY V A M EDICAL CENTER
This page provides the complete NPI Profile along with additional information for Sonny Montgomery V A M Edical Center, a provider established in Jackson, Mississippi operating as a Chronic Disease Hospital. The healthcare provider is registered in the NPI registry with number 1013014695 assigned on September 2006. The practitioner's primary taxonomy code is 281P00000X with license number R725005 (MS). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mrs. Linda Ruth Mack Msn Nursing (Certified Nurse Practitioner)
- NPI
- 1013014695
- Provider Name
- SONNY MONTGOMERY V A M EDICAL CENTER
- Entity Type
- Organization
- Location Address
- 1500 E WOODROW WILSON AVE JACKSON, MS 39216
- Location Phone
- (601) 362-4471
- Mailing Address
- 1973 HOUSTON RD BOLTON, MS 39041
- Mailing Phone
- (601) 866-2429
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-17-2006
- Last Update Date
- 08-22-2020
- 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
Chronic Disease Hospital
- Taxonomy Code
- 281P00000X
- Type
- Hospitals
- License No.
- R725005
- License State
- MS
- Taxonomy Description
- (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 1 | 3 | 0 | 1 | 4 | 6 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 0 | 1 | 8 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 0 + 1 + 8 + 6 + 1 + 8 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1013014695 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1013989953 | MRS. TATONJA RASHETTA JONES NP Individual | Nurse Practitioner (Family) | 1500 E WOODROW WILSON AVE JACKSON, MS 39216 (601) 362-4471 |
| 1508827205 | REBECCA B CLANTON N.P. Individual | Nurse Practitioner (Family) | 1500 E WOODROW WILSON AVE JACKSON, MS 39216 (601) 364-1558 |
| 1649224445 | MR. JAMES HERMAN WHELAN RPH Individual | Pharmacist | 1500 E WOODROW WILSON AVE PHARMACY SERVICE (119) JACKSON, MS 39216 (601) 364-1555 |
| 1134173412 | DR. LEAH MICHELLE RUSSELL PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 1500 E WOODROW WILSON AVE JACKSON, MS 39216 (601) 919-2403 |
| 1275573172 | DR. JOSEPH H ROBINSON MD Individual | Dermatology | 1500 E WOODROW WILSON AVE JACKSON, MS 39216 (601) 362-4471 |
| 1780614339 | DR. ROBERT EMMETT LYNCH II M.D. Individual | Internal Medicine | 1500 E WOODROW WILSON AVE JACKSON, MS 39216 (601) 364-7901 |
| 1366472896 | DR. BARBARA ANN FEDOR MD Individual | Internal Medicine | 1500 E WOODROW WILSON AVE JACKSON, MS 39216 (601) 363-4471 |
| 1013940147 | DR. TAWFIQ IFTEKHAR KHANSUR M.D Individual | Internal Medicine (Hematology & Oncology) | 1500 E WOODROW WILSON AVE JACKSON, MS 39216 (601) 364-4471 |
| 1689607962 | DR. RAY V KIMBLE MD Individual | Psychiatry & Neurology (Psychiatry) | 1500 E WOODROW WILSON AVE JACKSON, MS 39216 (601) 362-4471 |
| 1609809771 | JO LURESA HARBOUR MD Individual | Internal Medicine | 1500 E WOODROW WILSON AVE G.V. (SONNY) MONTGOMERY VAMC (111-P) JACKSON, MS 39216 (601) 362-4471 |
| 1194758292 | DR. JOSE SANTIAGO SUBAUSTE M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 1500 E WOODROW WILSON AVE R&E BUILDING (151) - VAMC JACKSON, MS 39216 (601) 362-4471 |
| 1477587400 | DR. GURDIAL S SANDHU M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1500 E WOODROW WILSON AVE JACKSON, MS 39216 (601) 362-4471 |
| 1932132917 | GRANT KEITH LOFTON CFNP Individual | Nurse Practitioner (Primary Care) | 1500 E WOODROW WILSON AVE JACKSON, MS 39216 (601) 362-4471 |
| 1114950110 | LUCRETIA ROSS CRAFT RN, FNP Individual | Nurse Practitioner (Family) | 1500 E WOODROW WILSON AVE JACKSON, MS 39216 (601) 362-4471 |
| 1760416051 | DR. DONALD E. SAWYER M.D. Individual | Urology | 1500 E WOODROW WILSON AVE SURGICAL SERVICE 112 JACKSON, MS 39216 (601) 364-1358 |
| 1740214196 | DR. SAMUEL MILTON RICHARDSON III M.D. Individual | Emergency Medicine | 1500 E WOODROW WILSON AVE JACKSON, MS 39216 (601) 362-4471 |
| 1376568568 | DR. ETHEL S. ROSE MD Individual | Psychiatry & Neurology (Neurology) | 1500 E WOODROW WILSON AVE VAMC, 127 JACKSON, MS 39216 (601) 364-1285 |
| 1356366355 | DR. SHARON PATRICIA DOUGLAS M.D. Individual | Internal Medicine (Pulmonary Disease) | 1500 E WOODROW WILSON AVE 14A JACKSON, MS 39216 (601) 364-1463 |
| 1235154105 | JEAN H MELTON NP Individual | Nurse Practitioner (Family) | 1500 E WOODROW WILSON AVE JACKSON, MS 39216 (601) 362-4471 |
| 1811912736 | MRS. LISA GERALDINE LANGLEY NP Individual | Nurse Practitioner (Family) | 1500 E WOODROW WILSON AVE JACKSON, MS 39216 (601) 362-4471 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013014695, enumerated in the NPI registry as an "organization" on September 17, 2006
The provider is located at 1500 E Woodrow Wilson Ave Jackson, Ms 39216 and the phone number is (601) 362-4471
This medical organization specializes in Chronic Disease Hospital with taxonomy code 281P00000X
This NPI record was last updated on September 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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