NPIMap

Organization Active NPI

Miami Vamc

  • VA Clinic/Center
  • Hollywood, FL
National Provider Identifier
1003861071
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
MIAMI VAMC
Practice address
3702 Washington St
Hollywood Pavilion, Suite 201
Hollywood, FL 33021-8282
Phone
(866) 793-4591
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erin Potter
Title
Npi Team Member
Phone
(202) 382-2579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X Primary

Addresses

Primary practice location

3702 Washington St
Hollywood Pavilion, Suite 201
Hollywood, FL 33021-8282

Mailing address

PO Box 94466
Cleveland, OH 44101-4466
Phone (866) 793-4591

Other names 1

  • Hollywood VA CBOC Other name

National Provider Directory

National Provider Directory
Tax ID family
Miami VA Medical Health Center14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

3702 Washington St
Ste 201
Hollywood, FL 33021
Phone (954) 933-6000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1003861071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94466",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014466",
            "telephone_number": "866-793-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 WASHINGTON ST",
            "address_2": "HOLLYWOOD PAVILION, SUITE 201",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218282",
            "telephone_number": "866-793-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "NPI TEAM MEMBER",
        "authorized_official_telephone_number": "202-382-2579"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hollywood VA CBOC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Hollywood VA CBOC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.