ROTHSCHILD VA CLINIC
NPI 1275573677
Clinic/Center - VA in Rothschild, WI

NPI Status: Active since June 07, 2006

Contact Information

1105 E GRAND AVE
ROTHSCHILD, WI
ZIP 54474
Phone: (608) 821-7200
Fax: (608) 821-7658

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  • Organization
  • Clinic/Center
  • VA
  • CLIA Number: 52D1098444
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About ROTHSCHILD VA CLINIC

This page provides the complete NPI Profile along with additional information for Rothschild Va Clinic, a provider established in Rothschild, Wisconsin operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1275573677 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 Rothschild Va Clinic. The authorized official of this NPI record is Erin Potter (Npi Team)

NPI
1275573677
Provider Legal Name
TOMAH VAMC
Other Organization Name
ROTHSCHILD VA CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1105 E GRAND AVE ROTHSCHILD, WI 54474
Location Phone
(608) 821-7200
Location Fax
(608) 821-7658
Mailing Address
PO BOX 94488 CLEVELAND, OH 44101
Mailing Phone
(608) 821-7200
Mailing Fax
(608) 821-7658
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-07-2006
Last Update Date
02-23-2023
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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
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
52D1098444
Facility Type
Community Clinic
Certificate Effective Date
April 20, 2009
Certificate Expiration Date
May 22, 2026
Laboratory Director
THOMAS RAJ
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Rothschild Va Clinic on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for ROTHSCHILD 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.
1275573677
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221451076614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 0 + 7 + 6 + 6 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1275573677 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346463114MR. TIMOTHY ALLEN CONDON R.PH.
Individual
Pharmacist1105 E GRAND AVE
ROTHSCHILD, WI 54474
(715) 359-3146
1649497033MRS. JODY A OSOWSKI RPH
Individual
Pharmacist1105 E GRAND AVE
ROTHSCHILD, WI 54474
(715) 359-4251
1093153868MR. SCOTT JOHN VANERMEN PHARMD, RPH
Individual
Pharmacist1105 E GRAND AVE
ROTHSCHILD, WI 54474
(715) 359-4251
1487084232 RODNEY LEE ROGALLA RPH
Individual
Pharmacist1105 E GRAND AVE
ROTHSCHILD, WI 54474
(715) 359-4251
1023063294SHOPKO STORES OPERATING CO LLC
Organization
Pharmacy (Community/Retail Pharmacy)1105 E GRAND AVE
ROTHSCHILD, WI 54474
(715) 359-4251
1114319795 JACIE CIHLAR PHARM D
Individual
Pharmacist1105 E GRAND AVE
ROTHSCHILD, WI 54474
(715) 359-4251
1619221371MISS STEPHANIE MICHELLE BAIRD RPH
Individual
Pharmacist1105 E GRAND AVE
ROTHSCHILD, WI 54474
(715) 359-4252
1598173551 CHELSEA REED PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)1105 E GRAND AVE
ROTHSCHILD, WI 54474
(800) 872-8662
1790411155MS. HOLLY PURCELL LCSW
Individual
Social Worker (Clinical)1105 E GRAND AVE
ROTHSCHILD, WI 54474
(715) 842-2834
1730800558 CHELSEA LOUISE GRASSL
Individual
Social Worker1105 E GRAND AVE
ROTHSCHILD, WI 54474
(606) 083-7239
1538600499 ANGELA LUND D.C.
Individual
Chiropractor1105 E GRAND AVE
ROTHSCHILD, WI 54474
(715) 842-2834
1366094518 HILARY MOLBECK PHARM.D.
Individual
Pharmacist1105 E GRAND AVE
ROTHSCHILD, WI 54474
(608) 372-3971
1285470906 PAUL SCHNECK APSW
Individual
Social Worker1105 E GRAND AVE
ROTHSCHILD, WI 54474
(608) 372-3791

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275573677, enumerated in the NPI registry as an "organization" on June 07, 2006

The provider is located at 1105 E Grand Ave Rothschild, Wi 54474 and the phone number is (608) 821-7200

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

The provider's CLIA number is 52D1098444 for a "community clinic" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on June 07, 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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