NPIMap

Organization Active NPI

Orlando Vamc

  • VA Clinic/Center
  • Daytona Beach, FL
National Provider Identifier
1245628387
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
ORLANDO VAMC
Practice address
1821 Business Park Blvd
Daytona Beach, FL 32114-1230
Phone
(866) 793-4591
NPI assigned
Dec 23, 2014
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
Phone
(202) 382-2579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X NU Primary

Addresses

Primary practice location

1821 Business Park Blvd
Daytona Beach, FL 32114-1230

Mailing address

PO Box 94471
Cleveland, OH 44101-4471
Phone (866) 793-4591

Other names 1

  • WESTSIDE PAVILION VA OOS Other name

National Provider Directory

National Provider Directory
Tax ID family
Orlando 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

1821 Business Park Blvd
Daytona Beach, FL 32114
Phone (386) 366-6700

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1245628387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94471",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014471",
            "telephone_number": "866-793-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 BUSINESS PARK BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141230",
            "telephone_number": "866-793-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "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",
        "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": "WESTSIDE PAVILION VA OOS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "WESTSIDE PAVILION VA OOS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Daytona Beach, FL

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.