NPIMap

Organization Active NPI

Mountain Home Vamc

  • VA Clinic/Center
  • Vansant, VA
National Provider Identifier
1306234448
Registry record updated Sep 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
MOUNTAIN HOME VAMC
Practice address
1941 Lover'S Gap Lane
Suite a
Vansant, VA 24656-9998
Phone
(615) 355-3451
NPI assigned
Dec 23, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Erin Potter
Title
Npi Team Member
Phone
(202) 382-2579

National Provider Directory

National Provider Directory
Tax ID family
Mountain Home Vamc19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X Primary

Addresses

NPPES NPI Registry

Primary practice location

1941 Lover'S Gap Lane
Suite a
Vansant, VA 24656-9998

Mailing address

PO Box 94516
Cleveland, OH 44101
Phone (615) 355-3451

Other names 1

NPPES NPI Registry
  • VANSANT VA OOS Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 7, 2017.

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504742400000",
    "number": "1306234448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94516",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44101",
            "telephone_number": "615-355-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 LOVER'S GAP LANE",
            "address_2": "SUITE A",
            "city": "VANSANT",
            "state": "VA",
            "postal_code": "246569998",
            "telephone_number": "615-355-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN HOME VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2017-09-07",
        "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": "VANSANT VA OOS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vansant, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.