NPIMap

Organization Active NPI

Wilkes Barre Vamc

  • VA Clinic/Center
  • Tobyhanna, PA
National Provider Identifier
1740224971
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
WILKES BARRE VAMC
Practice address
Tobyhanna Army Depot
BLDG 220
Tobyhanna, PA 18466-5002
Phone
(717) 277-6565
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 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 Member
Phone
(202) 382-2579

Specialties & licenses 1

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

Addresses

Primary practice location

Tobyhanna Army Depot
BLDG 220
Tobyhanna, PA 18466-5002

Mailing address

PO Box 94450
Cleveland, OH 44101-4450
Phone (717) 277-6565

Other names 1

  • Tobyhanna VA Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Wilkes Barre Vamc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1740224971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94450",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014450",
            "telephone_number": "717-277-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TOBYHANNA ARMY DEPOT",
            "address_2": "BLDG 220",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184665002",
            "telephone_number": "717-277-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES BARRE VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "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": "Tobyhanna VA Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Tobyhanna VA Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tobyhanna, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.