NPIMap

Organization Active NPI

Fort Meade Vamc

  • VA Clinic/Center
  • Rapid City, SD
National Provider Identifier
1346288438
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
FORT MEADE VAMC
Practice address
2165 Promise Rd
Rapid City, SD 57701-8981
Phone
(913) 578-4409
Fax
(913) 578-4536
NPI assigned
Jun 2, 2006
Last updated
Sep 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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 Primary

Addresses

Primary practice location

2165 Promise Rd
Rapid City, SD 57701-8981

Mailing address

PO Box 94456
Cleveland, OH 44101-4456
Phone (913) 578-4409

Other names 2

  • Rapid City VA CBOC Other name
  • Rapid City VA Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
VA Black Hills Health Care System13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

2165 Promise Rd
Rapid City, SD 57701
Phone (605) 718-1095

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1346288438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94456",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014456",
            "telephone_number": "913-578-4409",
            "fax_number": "913-578-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 PROMISE RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577018981",
            "telephone_number": "913-578-4409",
            "fax_number": "913-578-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT MEADE VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rapid City VA CBOC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rapid City VA Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.