NPIMap

Organization Active NPI

Charleston Vamc

  • VA Clinic/Center
  • North Charleston, SC
National Provider Identifier
1083099444
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
CHARLESTON VAMC
Practice address
2424 City Hall Lane
North Charleston, SC 29406-9998
Phone
(828) 257-2333
NPI assigned
Jul 28, 2015
Last updated
Apr 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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 NU Primary

Addresses

Primary practice location

2424 City Hall Lane
North Charleston, SC 29406-9998

Mailing address

PO Box 89425
Cleveland, OH 44101-6425
Phone (828) 257-2333

Other names 1

  • NORTH CHARLESTON 2 VA CLINIC Other name

National Provider Directory

National Provider Directory
Tax ID family
Ralph H Johnson Vamc20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Locations

2424 City Hall Ln
North Charleston, SC 29406
Phone (843) 789-6804

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523577600000",
    "number": "1083099444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 89425",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441016425",
            "telephone_number": "828-257-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 CITY HALL LANE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069998",
            "telephone_number": "828-257-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2018-04-13",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH CHARLESTON 2 VA CLINIC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "NORTH CHARLESTON 2 VA CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.