NPIMap

Organization Active NPI

Tucson Vamc

  • VA Clinic/Center
  • Casa Grande, AZ
National Provider Identifier
1013457704
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
TUCSON VAMC
Practice address
1179 E Cottonwood Lane
Suite 1
Casa Grande, AZ 85122-2969
Phone
(702) 341-3152
NPI assigned
Mar 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

1179 E Cottonwood Lane
Suite 1
Casa Grande, AZ 85122-2969

Mailing address

PO Box 94422
Cleveland, OH 44101-4422
Phone (702) 341-3152

Other names 1

  • CASA GRANDE 1 VA CLINIC Other name

National Provider Directory

National Provider Directory
Tax ID family
Tucson Vamc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

1179 E Cottonwood Ln
Ste 1
Casa Grande, AZ 85122

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1013457704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94422",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014422",
            "telephone_number": "702-341-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1179 E COTTONWOOD LANE",
            "address_2": "SUITE 1",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222969",
            "telephone_number": "702-341-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCSON VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-11-15",
        "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": "CASA GRANDE 1 VA CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.