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Denver Vamc

Organization Active NPI VA Clinic/Center · La Junta, CO

NPI 1023065067 · NPPES record last updated Dec 12, 2017

Key facts

NPI
1023065067
Entity type
Organization (NPI type 2)
Primary specialty
VA Clinic/Center 261QV0200X
Legal business name
DENVER VAMC
Practice address
1100 Carson Ave
Suite 204
La Junta, CO 81050-2751
Phone
(913) 578-4409
NPI assigned
May 27, 2006
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 25

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

National Provider Directory

Tax ID family
Denver Vamc (26 organizations share this tax ID)

Locations

1100 Carson Ave
Ste 204
La Junta, CO 81050

Specialties & licenses

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

Addresses

Primary practice location

1100 Carson Ave
Suite 204
La Junta, CO 81050-2751

Mailing address

PO Box 94455
Cleveland, OH 44101-4455
Phone (913) 578-4409

Other names

  • La Junta VA Clinic Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 12, 2017.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1023065067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94455",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014455",
            "telephone_number": "913-578-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CARSON AVE",
            "address_2": "SUITE 204",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502751",
            "telephone_number": "913-578-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2017-12-12",
        "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": "La Junta VA Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Junta, CO

All providers in La Junta, CO · VA Clinic/Center in Colorado

Sources for this page

Verify at the official NPI Registry.