NPIMap

Organization Active NPI

Walla Walla Vamc

  • VA Clinic/Center
  • Richland, WA
National Provider Identifier
1659311009
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
WALLA WALLA VAMC
Practice address
825 Jadwin Ave
Suite 250 Federal Building 2ND Floor
Richland, WA 99352-3589
Phone
(702) 341-3164
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

825 Jadwin Ave
Suite 250 Federal Building 2ND Floor
Richland, WA 99352-3589

Mailing address

PO Box 94423
Cleveland, OH 44101-4423
Phone (702) 341-3164

Other names 1

  • Richland VA Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Dept of Veteran Affairs11 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

825 Jadwin Ave
Ste 250
Richland, WA 99352
Phone (509) 946-1020

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1659311009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94423",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014423",
            "telephone_number": "702-341-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 JADWIN AVE",
            "address_2": "SUITE 250 FEDERAL BUILDING 2ND FLOOR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523589",
            "telephone_number": "702-341-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLA WALLA VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2017-11-15",
        "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",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richland VA Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.