Fayetteville Vamc
Organization Active NPI VA Clinic/Center · Jacksonville, NC
NPI 1124422308 · NPPES record last updated Apr 11, 2018
Key facts
- NPI
- 1124422308
- Entity type
- Organization (NPI type 2)
- Primary specialty
- VA Clinic/Center 261QV0200X
- Legal business name
- FAYETTEVILLE VAMC
- Practice address
- 306 Brynn Marr Rd
Jacksonville, NC 28546-7023 - Phone
- (828) 257-3777
- NPI assigned
- Oct 16, 2014
- Organization subpart
- No
Authorized official
- Name
- Erin Potter
- Title
- Npi Team Member
- Phone
- (202) 382-2579
Corporate family (same tax ID) 22
National Provider Directory
- Tax ID family
- Fayetteville Vamc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| VA Clinic/Center | 261QV0200X | Yes |
Addresses
Primary practice location
306 Brynn Marr Rd
Jacksonville, NC 28546-7023
Mailing address
PO Box 89494
Cleveland, OH 44101-6494
Phone (828) 257-2333
Other names
- JACKSONVILLE VA CLINIC
Other providers in Jacksonville, NC
- Britton Nicole Farnum
- Eliza Farrell
- Ward Farrior
- Jerry Fatica
- Samantha Marley Favorite
- Fayetteville Vamc
- Fayetteville Vamc
- Fayetteville Vamc
- Jadyn Fedah
- Viktor Vasilyevich Fedorov
All providers in Jacksonville, NC · VA Clinic/Center in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.