PUEBLO VA CLINIC
NPI 1205874526
Clinic/Center - VA in Pueblo, CO

NPI Status: Active since June 02, 2006

Contact Information

4776 EAGLERIDGE CIR
PUEBLO, CO
ZIP 81008
Phone: (913) 578-4409

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  • Organization
  • Clinic/Center
  • VA

About PUEBLO VA CLINIC

This page provides the complete NPI Profile along with additional information for Pueblo Va Clinic, a provider established in Pueblo, Colorado operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1205874526 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 8 years ago. The provider's other name is Pueblo Va Clinic. The authorized official of this NPI record is Erin Potter (Npi Team Member)

NPI
1205874526
Provider Legal Name
DENVER VAMC
Other Organization Name
PUEBLO VA CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
4776 EAGLERIDGE CIR PUEBLO, CO 81008
Location Phone
(913) 578-4409
Mailing Address
PO BOX 94455 CLEVELAND, OH 44101
Mailing Phone
(913) 578-4409
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-02-2006
Last Update Date
12-12-2017
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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

Reviews for PUEBLO VA CLINIC

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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.
1205874526
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2205167854
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 6 + 7 + 8 + 5 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1205874526 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861464224MS. MARY HELEN HOBBS MSW
Individual
Social Worker (Clinical)4776 EAGLERIDGE CIR
PUEBLO, CO 81008
(719) 584-5123
1881003473 FRANK KELLER PHARM.D.
Individual
Pharmacist4776 EAGLERIDGE CIR
PUEBLO, CO 81008
(719) 553-1000
1578016168MS. KIMBERLY PRIEST RDN
Individual
Dietitian, Registered4776 EAGLERIDGE CIR
PUEBLO, CO 81008
(719) 553-1000
1699285197MRS. DEBRA JEAN LAWRENCE LCSW
Individual
Social Worker (Clinical)4776 EAGLERIDGE CIR
PUEBLO, CO 81008
(719) 553-1000
1063978682 JUSTIN M GAY LCSW
Individual
Social Worker (Clinical)4776 EAGLERIDGE CIR
PUEBLO, CO 81008
(719) 584-5183
1700448966DR. JESSICA BLAETTLER AUD
Individual
Audiologist4776 EAGLERIDGE CIR
PUEBLO, CO 81008
(719) 659-1846
1407825540DR. STEPHEN WESLEY LEECH D.P.M.
Individual
Podiatrist (Primary Podiatric Medicine)4776 EAGLERIDGE CIR
PUEBLO, CO 81008
(719) 553-1000
1922744903 TONYA JEAN NELSON RN
Individual
Registered Nurse4776 EAGLERIDGE CIR
PUEBLO, CO 81008
(719) 327-5660
1467143578 BRITTANY BERRIER
Individual
Social Worker4776 EAGLERIDGE CIR
PUEBLO, CO 81008
(224) 623-3898
1134934490 ELENA MARQUEZ LSW
Individual
Case Manager/Care Coordinator4776 EAGLERIDGE CIR
PUEBLO, CO 81008
(719) 553-1000
1902502354 JONATHAN DAVID COHEN PTA
Individual
Physical Therapy Assistant4776 EAGLERIDGE CIR
PUEBLO, CO 81008
(719) 584-5205
1972501641MS. KIMBERLY J MAES P.T., CPED
Individual
Physical Medicine & Rehabilitation4776 EAGLERIDGE CIR
PUEBLO, CO 81008
(719) 584-5107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205874526, enumerated in the NPI registry as an "organization" on June 02, 2006

The provider is located at 4776 Eagleridge Cir Pueblo, Co 81008 and the phone number is (913) 578-4409

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

This NPI record was last updated on June 02, 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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