Iron Mountain Vamc
Organization Active NPI VA Clinic/Center · Menominee, MI
NPI 1194763185 · NPPES record last updated Feb 23, 2023
Key facts
- NPI
- 1194763185
- Entity type
- Organization (NPI type 2)
- Primary specialty
- VA Clinic/Center 261QV0200X
- Legal business name
- IRON MOUNTAIN VAMC
- Practice address
- 1110 10TH Ave
Suite 101
Menominee, MI 49858-3058 - Phone
- (608) 821-7200
- Fax
- (608) 821-7658
- NPI assigned
- Jun 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Erin Potter
- Title
- Npi Team
- Phone
- (202) 382-2579
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Iron Mountain Vamc
Locations
1110 10th Ave
Ste 101
Menominee, MI 49858
Phone (906) 863-1286
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| VA Clinic/Center | 261QV0200X | Yes |
Addresses
Primary practice location
1110 10TH Ave
Suite 101
Menominee, MI 49858-3058
Mailing address
PO Box 94484
Cleveland, OH 44101-4484
Phone (608) 821-7200
Other names
- Menominee VA CBOC
Other providers in Menominee, MI
- William C Hultman
- Jock Hyland
- Ireland Family Chiropractic
- Kevin E Ireland
- Sandra L. Ireland
- April M Jensen
- Jo Ann Jeschke
- Christina Kakuk
- Emily Kangas
- Joshua J Kickhaver
All providers in Menominee, MI · VA Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2023. 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.