NPIMap

Organization Active NPI

San Juan Vamc

  • VA Clinic/Center
  • St Croix, VI
National Provider Identifier
1184668329
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
SAN JUAN VAMC
Practice address
RR 2 Box 10553 Kingshill
The Village Mall #113
St. Croix, VI 00850-4701
Phone
(888) 263-1889
NPI assigned
Jun 16, 2006
Last updated
Mar 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 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
VA Clinic/Center 261QV0200X Primary

Addresses

Primary practice location

RR 2 Box 10553 Kingshill
The Village Mall #113
St. Croix, VI 00850-4701

Mailing address

PO Box 94469
Cleveland, OH 44101-4469
Phone (866) 793-4591

Other names 1

  • St. Croix VA CBOC Other name

National Provider Directory

National Provider Directory
Tax ID family
San Juan Vamc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1184668329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94469",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014469",
            "telephone_number": "866-793-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 10553 KINGSHILL",
            "address_2": "THE VILLAGE MALL #113",
            "city": "ST. CROIX",
            "state": "VI",
            "postal_code": "008504701",
            "telephone_number": "888-263-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "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": "St. Croix VA CBOC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "St. Croix VA CBOC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St Croix, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.