OSWEGO VA CLINIC
NPI 1104864743
Clinic/Center - VA in Oswego, NY

NPI Status: Active since June 04, 2006

Contact Information

293 STATE ROUTE 104 STE 70
OSWEGO, NY
ZIP 13126
Phone: (717) 277-6565

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  • Organization
  • Clinic/Center
  • VA
  • CLIA Number: 33D2015733
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 03-26-2027

About OSWEGO VA CLINIC

This page provides the complete NPI Profile along with additional information for Oswego Va Clinic, a provider established in Oswego, New York operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1104864743 assigned on June 2006. The practitioner's primary taxonomy code is 261QV0200X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Oswego Va Clinic. The authorized official of this NPI record is Erin Potter (Npi Team Member)

NPI
1104864743
Provider Legal Name
BUFFALO VAMC
Other Organization Name
OSWEGO VA CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
293 STATE ROUTE 104 STE 70 OSWEGO, NY 13126
Location Phone
(717) 277-6565
Mailing Address
PO BOX 94434 CLEVELAND, OH 44101
Mailing Phone
(717) 277-6565
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-04-2006
Last Update Date
01-10-2023
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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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ERIN POTTER

Authorized Official Title
NPI TEAM MEMBER
Authorized Official Phone
(202) 382-2579

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
33D2015733
Facility Type
Community Clinic
Certificate Effective Date
November 03, 2010
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. CHERYL MATTERN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Oswego Va Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1104864743
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104166878
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 6 + 6 + 8 + 7 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1104864743 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104864743, enumerated in the NPI registry as an "organization" on June 04, 2006

The provider is located at 293 State Route 104 Ste 70 Oswego, Ny 13126 and the phone number is (717) 277-6565

This medical organization specializes in Clinic/Center with taxonomy code 261QV0200X with a focus in VA

The provider's CLIA number is 33D2015733 for a "community clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 04, 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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