NPIMap

Organization Active NPI

Honolulu Vamc

  • VA Clinic/Center
  • Agana Heights, GU
National Provider Identifier
1700826401
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
HONOLULU VAMC
Practice address
498 Chalan Palosyo
Agana Heights, GU 96910-6427
Phone
(702) 341-3020
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 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

498 Chalan Palosyo
Agana Heights, GU 96910-6427

Mailing address

PO Box 94406
Cleveland, OH 44101-4406
Phone (702) 341-3020

Other names 1

  • Guam VA CBOC Other name

National Provider Directory

National Provider Directory
Tax ID family
Honolulu Vamc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

498 Chalan Palosyo
Agana Heights, GU 96910
Phone (671) 475-0061

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1700826401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94406",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014406",
            "telephone_number": "702-341-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 CHALAN PALOSYO",
            "city": "AGANA HEIGHTS",
            "state": "GU",
            "postal_code": "969106427",
            "telephone_number": "702-341-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONOLULU VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "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": "Guam VA CBOC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Guam VA CBOC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Agana Heights, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.