EDITH NOURSE ROGERS MEMORIAL VAMC
NPI 1285685941
Special Hospital in Lynn, MA
NPI Status: Active since May 15, 2006
- Organization
- Special Hospital
- CLIA Number: 22D2304235
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 05-08-2026
About EDITH NOURSE ROGERS MEMORIAL VAMC
This page provides the complete NPI Profile along with additional information for Edith Nourse Rogers Memorial Vamc, a provider established in Lynn, Massachusetts operating as a Special Hospital. The healthcare provider is registered in the NPI registry with number 1285685941 assigned on May 2006. The practitioner's primary taxonomy code is 284300000X with license number 138951 (MA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's former legal business name is Lynn Cboc. The authorized official of this NPI record is Ms. Ann Mary Des Loges Msn Rn Anp (Nurse Practitioner)
- NPI
- 1285685941
- Provider Legal Name
- EDITH NOURSE ROGERS MEMORIAL VAMC
- Other Organization Name
- LYNN CBOC
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 225 BOSTON ST LYNN, MA 01904
- Location Phone
- (178) 123-3463
- Mailing Address
- 7 BACON DR SAUGUS, MA 01906
- Mailing Phone
- (178) 123-3463
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-15-2006
- 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
Special Hospital
- Taxonomy Code
- 284300000X
- Type
- Hospitals
- License No.
- 138951
- License State
- MA
- Taxonomy Description
- A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.
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
- 22D2304235
- Facility Type
- Ambulance
- Certificate Effective Date
- May 09, 2024
- Certificate Expiration Date
- May 08, 2026
- Laboratory Director
- MR. STEPHEN P. STILLE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Edith Nourse Rogers Memorial Vamc 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. | |||||||||
| 1 | 2 | 8 | 5 | 6 | 8 | 5 | 9 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 12 | 8 | 10 | 9 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 2 + 8 + 1 + 0 + 9 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1285685941 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 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1700881091 | DR. DAVID Z GREENSEID M.D. Individual | Ophthalmology | 225 BOSTON ST LYNN, MA 01904 (781) 581-7333 |
| 1104827559 | DR. ROBERT C CROSS ED.D. Individual | Psychologist (Clinical) | 225 BOSTON ST SUITE 306 LYNN, MA 01904 (617) 362-3139 |
| 1932166196 | JAMES M GOTTSCHALL MD Individual | Internal Medicine | 225 BOSTON ST SUITE 203 LYNN, MA 01904 (781) 593-5100 |
| 1255399440 | DR. DEAN ALAN BLASS M.D. Individual | Specialist | 225 BOSTON ST LYNN, MA 01904 (781) 595-4544 |
| 1255388047 | TORYALAI AMIRI M.D. Individual | Internal Medicine | 225 BOSTON ST SUITE 306 LYNN, MA 01904 (781) 592-3183 |
| 1427079102 | DR. MARK EDWARD WILNER DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 225 BOSTON ST LYNN, MA 01904 (781) 595-2542 |
| 1376686857 | ROBERT R PENNELL M.D. Individual | Orthopaedic Surgery | 225 BOSTON ST EAST LYNN, MA 01904 (781) 593-5430 |
| 1417130584 | MASAHISA HIJIKATA, MD, PC Organization | Urology | 225 BOSTON ST SUITE 206 LYNN, MA 01904 (781) 595-3507 |
| 1124299060 | STUART G MERLE & ALAN ZICHERMAN PC Organization | Dentist (Pediatric Dentistry) | 225 BOSTON ST LYNN, MA 01904 (781) 581-7798 |
| 1477725844 | DR. MARK E. WILNER, DDS Organization | Dentist (Oral and Maxillofacial Surgery) | 225 BOSTON ST SUITE 207 LYNN, MA 01904 (781) 595-2542 |
| 1497222574 | ELVIRA MINASYAN Individual | Nurse Practitioner (Primary Care) | 225 BOSTON ST LYNN, MA 01904 (781) 595-9581 |
| 1710520796 | STEPHANIE PELLETIER Individual | Case Manager/Care Coordinator | 225 BOSTON ST LYNN, MA 01904 (781) 309-3043 |
| 1194368910 | MRS. JULIE ROBERTSON Individual | Counselor (Addiction (Substance Use Disorder)) | 225 BOSTON ST LYNN, MA 01904 (781) 520-1548 |
| 1841228632 | NORTHEAST PHYSICIAN PRACTICE Organization | Specialist | 225 BOSTON ST SUITE 205 LYNN, MA 01904 (781) 595-4544 |
| 1992393532 | ROBERT JAMES MASIELLO LICSW Individual | Social Worker (Clinical) | 225 BOSTON ST LYNN, MA 01904 (508) 479-0253 |
| 1649392416 | PRIMARY CARE NORTH PC Organization | Internal Medicine | 225 BOSTON ST SUITE 204 LYNN, MA 01904 (781) 595-9581 |
| 1073550588 | BEDFORD VAMC Organization | Clinic/Center (VA) | 225 BOSTON ST LYNN, MA 01904 (717) 277-6565 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285685941, enumerated in the NPI registry as an "organization" on May 15, 2006
The provider is located at 225 Boston St Lynn, Ma 01904 and the phone number is (178) 123-3463
This medical organization specializes in Special Hospital with taxonomy code 284300000X
The provider's CLIA number is 22D2304235 for a "ambulance" 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 May 15, 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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