Spokane Vamc
Organization Active NPI VA Clinic/Center · Kootenai, ID
NPI 1316338486 · NPPES record last updated Nov 16, 2022
Key facts
- NPI
- 1316338486
- Entity type
- Organization (NPI type 2)
- Primary specialty
- VA Clinic/Center 261QV0200X
- Legal business name
- SPOKANE VAMC
- Practice address
- 130 McGhee Rd Ste 101
Kootenai, ID 83840-0040 - Phone
- (702) 341-3164
- Fax
- (702) 341-3503
- NPI assigned
- Feb 11, 2015
- Organization subpart
- No
Authorized official
- Name
- Erin Potter
- Title
- Npi Team
- Phone
- (202) 382-2579
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Spokane Vamc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| VA Clinic/Center | 261QV0200X | Yes |
Addresses
Primary practice location
130 McGhee Rd Ste 101
Kootenai, ID 83840-0040
Mailing address
PO Box 94421
Cleveland, OH 44101-4421
Phone (702) 341-3164
Other names
- Kootenai VA Clinic
Other providers in Kootenai, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2022. 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.