CLEVELAND VA CBOC
NPI 1154337558
Clinic/Center in Cleveland, WI

NPI Status: Active since July 31, 2006

Contact Information

1205 NORTH AVE
CLEVELAND, WI
ZIP 53015
Phone: (188) 469-6614

Get Directions Reviews

  • Organization
  • Clinic/Center

About CLEVELAND VA CBOC

This page provides the complete NPI Profile along with additional information for Cleveland Va Cboc, a provider established in Cleveland, Wisconsin operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1154337558 assigned on July 2006. The practitioner's primary taxonomy code is 261Q00000X with license number 8882-031 (WI). 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 Agnes E. Deehr (Lpn)

NPI
1154337558
Provider Name
CLEVELAND VA CBOC
Entity Type
Organization
Location Address
1205 NORTH AVE CLEVELAND, WI 53015
Location Phone
(188) 469-6614
Mailing Address
336 E JEFFERSON AVE CLEVELAND, WI 53015
Mailing Phone
(920) 693-8478
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-31-2006
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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
8882-031
License State
WI
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

AGNES E. DEEHR

Authorized Official Title
LPN
Authorized Official Phone
(920) 693-5600

Reviews for CLEVELAND VA CBOC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1154337558
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211046314510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 6 + 3 + 1 + 4 + 5 + 1 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1154337558 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073542106 DORIS MISIAK LMSW
Individual
Social Worker (Clinical)1205 NORTH AVE
CLEVELAND, WI 53015
(920) 693-5600
1558387902 BENJAMIN ROBERT D'ANGELO PH.D.
Individual
Psychologist (Clinical)1205 NORTH AVE
CLEVELAND, WI 53015
(920) 693-5600
1164441440DR. GURMEET SINGH BHATIA M.D.
Individual
Internal Medicine1205 NORTH AVE
CLEVELAND, WI 53015
(920) 693-5600
1891715884MR. MICHAEL JAMES SHERIDAN R.N.
Individual
Registered Nurse1205 NORTH AVE
CLEVELAND, WI 53015
(920) 693-5609
1841210150DR. JOHN RICHARD REISKYTL MD
Individual
Family Medicine1205 NORTH AVE CLEVELAND VA CBOC
CLEVELAND, WI 53015
(920) 693-5600
1912927872MRS. KAREN R BALKE RN
Individual
Registered Nurse1205 NORTH AVE
CLEVELAND, WI 53015
(920) 693-5606
1881614683MRS. AGNES E DEEHR LPN
Individual
Licensed Practical Nurse1205 NORTH AVE
CLEVELAND, WI 53015
(188) 846-9661
1255354064 CAROL ILMA JACOBS NP
Individual
Nurse Practitioner (Adult Health)1205 NORTH AVE
CLEVELAND, WI 53015
(920) 693-5600
1417961590MRS. JAMIE LAUREN OLSEN RD
Individual
Dietitian, Registered1205 NORTH AVE
CLEVELAND, WI 53015
(920) 693-5600
1013010024MRS. AMY SUE MCKENZIE MSW LCSW SAC
Individual
Social Worker (Clinical)1205 NORTH AVE
CLEVELAND, WI 53015
(920) 693-5600
1841496486MRS. CHARLENE MAE BAUMGARTNER RN
Individual
Registered Nurse1205 NORTH AVE
CLEVELAND, WI 53015
(920) 639-5611
1184860124MRS. CARRIE LYNNE OAKLEY REGISTERED NURSE
Individual
Registered Nurse1205 NORTH AVE
CLEVELAND, WI 53015
(920) 693-5606
1760807259MR. NATHAN NITKA RD, CD
Individual
Dietitian, Registered1205 NORTH AVE
CLEVELAND, WI 53015
(920) 693-5600
1295060275MR. TAO LEE NP
Individual
Nurse Practitioner (Adult Health)1205 NORTH AVE
CLEVELAND, WI 53015
(920) 693-5600
1063439966CLEVELAND VA CBOC
Organization
Licensed Practical Nurse1205 NORTH AVE
CLEVELAND, WI 53015
(188) 846-9661
1609828748MILWAUKEE VAMC
Organization
Clinic/Center (VA)1205 NORTH AVE
CLEVELAND, WI 53015
(608) 821-7200
1790476463 LATREACE HOPE LAACK MSW, APSW
Individual
Social Worker (Clinical)1205 NORTH AVE
CLEVELAND, WI 53015
(920) 693-5600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154337558, enumerated in the NPI registry as an "organization" on July 31, 2006

The provider is located at 1205 North Ave Cleveland, Wi 53015 and the phone number is (188) 469-6614

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on July 31, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.