NPIMap

Organization Active NPI

Washington DC Vamc

  • VA Clinic/Center
  • Charlotte Hall, MD
National Provider Identifier
1649218165
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
WASHINGTON DC VAMC
Practice address
29640 Three Notch Rd
Charlotte Hall, MD 20622-3108
Phone
(828) 257-2333
NPI assigned
Jun 4, 2006
Last updated
Nov 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

29640 Three Notch Rd
Charlotte Hall, MD 20622-3108

Mailing address

PO Box 89413
Cleveland, OH 44101-6413
Phone (828) 257-2333

Other names 1

  • CHARLOTTE HALL VA CLINIC Other name

National Provider Directory

National Provider Directory
Tax ID family
Washington DC Vamc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

29640 Three Notch Rd
Charlotte Hall, MD 20622
Phone (301) 884-7102

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1649218165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 89413",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441016413",
            "telephone_number": "828-257-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29640 THREE NOTCH RD",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "206223108",
            "telephone_number": "828-257-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON DC VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARLOTTE HALL VA CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlotte Hall, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.