NPIMap

Organization Active NPI

Prescott Vamc

  • VA Clinic/Center
  • Kingman, AZ
National Provider Identifier
1770539561
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
PRESCOTT VAMC
Practice address
2668 Hualapai Mountain Rd
Kingman, AZ 86401-8387
Phone
(702) 341-3152
NPI assigned
May 25, 2006
Last updated
Nov 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

2668 Hualapai Mountain Rd
Kingman, AZ 86401-8387

Mailing address

PO Box 94411
Cleveland, OH 44101-4411
Phone (702) 341-3152

Other names 1

  • Kingman VA CBOC Other name

National Provider Directory

National Provider Directory
Tax ID family
Prescott Vamc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

2668 Hualapai Mountain Rd
Kingman, AZ 86401
Phone (928) 718-7300

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509494400000",
    "number": "1770539561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94411",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014411",
            "telephone_number": "702-341-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2668 HUALAPAI MOUNTAIN RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864018387",
            "telephone_number": "702-341-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTT VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2017-11-01",
        "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": "Kingman VA CBOC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.