GREENVILLE VA CBOC
NPI 1104865211
Clinic/Center - VA in Greenville, SC

NPI Status: Active since June 05, 2006

Contact Information

41 PARK CREEK DR
GREENVILLE, SC
ZIP 29605
Phone: (828) 257-2333

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  • Organization
  • Clinic/Center
  • VA

About GREENVILLE VA CBOC

This page provides the complete NPI Profile along with additional information for Greenville Va Cboc, a provider established in Greenville, South Carolina operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1104865211 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 7 years ago. The provider's other name is Greenville Va Cboc. The authorized official of this NPI record is Erin Potter (Npi Team Member)

NPI
1104865211
Provider Legal Name
COLUMBIA VAMC
Other Organization Name
GREENVILLE VA CBOC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
41 PARK CREEK DR GREENVILLE, SC 29605
Location Phone
(828) 257-2333
Mailing Address
PO BOX 89478 CLEVELAND, OH 44101
Mailing Phone
(828) 257-2333
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-05-2006
Last Update Date
04-17-2018
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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

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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.
1104865211
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21041661022
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 + 1 + 0 + 2 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1104865211 is valid because the calculated check digit 1 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
1417243817 ALISON DIANE GRUBBS DMD
Individual
Dentist41 PARK CREEK DR DENTAL SERVICES
GREENVILLE, SC 29605
(864) 299-1600
1023433752 DANA RONCONI LISW-CP
Individual
Social Worker (Clinical)41 PARK CREEK DR
GREENVILLE, SC 29605
(864) 299-1600
1386020360 JONATHAN MANTOOTH D.P.T
Individual
Physical Therapist41 PARK CREEK DR
GREENVILLE, SC 29605
(864) 299-1600
1497865059MS. DEBORAH KAY BIGGERSTAFF RPH, MS, PD
Individual
Pharmacist41 PARK CREEK DR
GREENVILLE, SC 29605
(864) 299-1600
1215011309DR. LAMONICA NICOLE CRUMP
Individual
Pharmacist (Pharmacotherapy)41 PARK CREEK DR
GREENVILLE, SC 29605
(864) 299-1600
1699967182DR. SHALONIE ROCHELLE SULLIVAN PHARMD, BCACP
Individual
Pharmacist (Ambulatory Care)41 PARK CREEK DR GOPC: PHARMACY DEPT
GREENVILLE, SC 29605
(864) 299-1600
1194962456MRS. ASHLEY N CASTELVECCHI PHARMD
Individual
Pharmacist (Geriatric)41 PARK CREEK DR PHARMACY-119
GREENVILLE, SC 29605
(864) 299-1600
1497204739 JACK MIXON RKT
Individual
Kinesiotherapist41 PARK CREEK DR
GREENVILLE, SC 29605
(864) 299-1600
1376086397 SHAUNA LYNN HENSON OTR/L
Individual
Occupational Therapist (Physical Rehabilitation)41 PARK CREEK DR
GREENVILLE, SC 29605
(864) 299-1600
1548243264MS. APRIL KEEN RD
Individual
Nutritionist41 PARK CREEK DR
GREENVILLE, SC 29605
(864) 299-1600
1861585580DR. NURUL MOHAMMED ISLAM M.D.
Individual
Family Medicine41 PARK CREEK DR GREENVILLE VA OUTPATIENT CLINIC
GREENVILLE, SC 29605
(864) 299-1600
1235315649DR. TINA OLIVIAE KEENE AU.D.
Individual
Audiologist41 PARK CREEK DR
GREENVILLE, SC 29605
(864) 299-1600
1710421383 CALLIE WOLF
Individual
Dietitian, Registered41 PARK CREEK DR
GREENVILLE, SC 29605
(330) 509-2268
1548270747 MICHAEL JAMES SMITH DDS
Individual
Dentist (Prosthodontics)41 PARK CREEK DR
GREENVILLE, SC 29605
(864) 422-2616
1578655957MS. CAROL ANNE DIETRICH P.T.
Individual
Physical Therapist41 PARK CREEK DR
GREENVILLE, SC 29605
(864) 299-1600
1023230844DR. MARC TARO ISHIZUKA D.O.
Individual
Psychiatry & Neurology (Psychiatry)41 PARK CREEK DR VA OUTPATIENT CLINIC IN GREENVILLE
GREENVILLE, SC 29605
(864) 299-1600
1083950950DR. KEVIN IRMITER PH.D.
Individual
Psychologist (Counseling)41 PARK CREEK DR
GREENVILLE, SC 29605
(864) 299-1600
1831522275DR. KATIE JO KRIEGER AU.D
Individual
Audiologist41 PARK CREEK DR
GREENVILLE, SC 29605
(864) 299-1600
1396173167MR. JAMES CAPOBIANCO LCSW, LISW-CP
Individual
Social Worker (Clinical)41 PARK CREEK DR
GREENVILLE, SC 29605
(864) 299-1600
1164506002 GRETCHEN KANEB
Individual
Family Medicine41 PARK CREEK DR
GREENVILLE, SC 29605
(864) 299-1600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104865211, enumerated in the NPI registry as an "organization" on June 05, 2006

The provider is located at 41 Park Creek Dr Greenville, Sc 29605 and the phone number is (828) 257-2333

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

This NPI record was last updated on June 05, 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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