NPIMap

Organization Active NPI

Saginaw Vamc

  • VA Clinic/Center
  • Gaylord, MI
National Provider Identifier
1003869843
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
SAGINAW VAMC
Practice address
2782 S Otsego Ave
Gaylord, MI 49735-9404
Phone
(608) 821-7200
Fax
(608) 821-7658
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 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
Phone
(202) 382-2579

Specialties & licenses 1

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

Addresses

Primary practice location

2782 S Otsego Ave
Gaylord, MI 49735-9404

Mailing address

PO Box 94487
Cleveland, OH 44101-4487
Phone (608) 821-7200

Other names 1

  • GAYLORD VA CLINIC Other name

National Provider Directory

National Provider Directory
Tax ID family
Saginaw Vamc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

2782 S Otsego Ave
Gaylord, MI 49735
Phone (989) 732-7525

806 S Otsego Ave
Gaylord, MI 49735
Phone (989) 732-6555

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1003869843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94487",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014487",
            "telephone_number": "608-821-7200",
            "fax_number": "608-821-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2782 S OTSEGO AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359404",
            "telephone_number": "608-821-7200",
            "fax_number": "608-821-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGINAW VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "NPI TEAM",
        "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": "GAYLORD VA CLINIC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "GAYLORD VA CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gaylord, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.