NPIMap

Organization Active NPI

Grand Junction Vamc

  • VA Clinic/Center
  • Craig, CO
National Provider Identifier
1043496169
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
GRAND JUNCTION VAMC
Practice address
1111 W Victory Way Ste 116
Craig, CO 81625-2945
Phone
(913) 578-4409
NPI assigned
Jan 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

1111 W Victory Way Ste 116
Craig, CO 81625-2945

Mailing address

PO Box 94457
Cleveland, OH 44101-4457
Phone (913) 578-4409

Other names 1

  • Craig Telehealth VA Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Grand Junction Vamc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

1111 W Victory Way
Ste 116
Craig, CO 81625
Phone (970) 826-9411

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1043496169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94457",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014457",
            "telephone_number": "913-578-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W VICTORY WAY STE 116",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252945",
            "telephone_number": "913-578-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND JUNCTION VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2019-07-09",
        "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": "Craig Telehealth VA Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Craig Telehealth VA Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Craig, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.