NPIMap

Organization Active NPI

Anchorage Vamc

  • VA Clinic/Center
  • Wasilla, AK
National Provider Identifier
1043451693
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
ANCHORAGE VAMC
Practice address
865 N Seward Meridian Pkwy
Suite 105
Wasilla, AK 99654-7241
Phone
(702) 341-3164
NPI assigned
Mar 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 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

865 N Seward Meridian Pkwy
Suite 105
Wasilla, AK 99654-7241

Mailing address

PO Box 91596
Cleveland, OH 44101-3596
Phone (702) 341-3164

Other names 1

  • WASILLA VA CLINIC Other name

National Provider Directory

National Provider Directory
Tax ID family
Anchorage 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

865 N Seward Meridian Pkwy
Ste 105
Wasilla, AK 99654
Phone (907) 631-3100

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1043451693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91596",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441013596",
            "telephone_number": "702-341-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 N SEWARD MERIDIAN PKWY",
            "address_2": "SUITE 105",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547241",
            "telephone_number": "702-341-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORAGE VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2017-10-31",
        "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": "WASILLA VA CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.