Organization Active NPI

Coatesville Vamc

  • Psychiatric Residential Treatment Facility
  • Coatesville, PA
National Provider Identifier
1043670516
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
COATESVILLE VAMC
Practice address
1400 Blackhorse Hill Rd
04-C
Coatesville, PA 19320-2040
Phone
(717) 277-6568
NPI assigned
Feb 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 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 Member
Phone
(202) 382-2579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

1400 Blackhorse Hill Rd
04-C
Coatesville, PA 19320-2040

Mailing address

PO Box 94437
Cleveland, OH 44101-4437
Phone (717) 277-6568

Other names 1

  • COATESVILLE VA CARE SITE Other name

National Provider Directory

National Provider Directory
Tax ID family
Coatesville Vamc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

1400 Blackhorse Hill Rd
#4C
Coatesville, PA 19320

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1043670516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94437",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014437",
            "telephone_number": "717-277-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BLACKHORSE HILL RD",
            "address_2": "04-C",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193202040",
            "telephone_number": "717-277-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COATESVILLE VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "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": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COATESVILLE VA CARE SITE",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "COATESVILLE VA CARE SITE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coatesville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.