NPIMap

Organization Active NPI

Sioux Falls Vamc

  • VA Clinic/Center
  • Watertown, SD
National Provider Identifier
1679709265
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
SIOUX FALLS VAMC
Practice address
4 19TH Street Northeast
Watertown, SD 57201-3936
Phone
(913) 578-4409
NPI assigned
Jun 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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 Primary

Addresses

Primary practice location

4 19TH Street Northeast
Watertown, SD 57201-3936

Mailing address

PO Box 94453
Cleveland, OH 44101-4453
Phone (913) 578-4409

Other names 1

  • WATERTOWN VA CLINIC Other name

National Provider Directory

National Provider Directory
Tax ID family
Sioux Falls Vamc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

917 29th St SE
Watertown, SD 57201
Phone (605) 884-2420

4 19th St NE
Watertown, SD 57201
Phone (605) 884-2420

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1679709265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94453",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014453",
            "telephone_number": "913-578-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 19TH STREET NORTHEAST",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572013936",
            "telephone_number": "913-578-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIOUX FALLS VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "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": "WATERTOWN VA CLINIC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "WATERTOWN VA CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Watertown, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.