NPIMap

Organization Active NPI

Montgomery Vamc

  • VA Clinic/Center
  • Fort Rucker, AL
National Provider Identifier
1790015402
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
MONTGOMERY VAMC
Practice address
301 Andrews Ave
Fort Rucker, AL 36362-9998
Phone
(828) 257-3777
Fax
(828) 257-2399
NPI assigned
Dec 31, 2009
Last updated
Nov 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

301 Andrews Ave
Fort Rucker, AL 36362-9998

Mailing address

PO Box 89470
Cleveland, OH 44101-6470
Phone (828) 257-2333

Other names 2

  • FORT NOVOSEL VA CLINIC Other name
  • FORT RUCKER VA CLINIC Other name

National Provider Directory

National Provider Directory
Tax ID family
Montgomery 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.

NPI Registry JSON

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1790015402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 89470",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441016470",
            "telephone_number": "828-257-2333",
            "fax_number": "828-257-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ANDREWS AVE",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "363629998",
            "telephone_number": "828-257-3777",
            "fax_number": "828-257-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "NPI TEAM",
        "authorized_official_telephone_number": "202-382-2579"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FORT NOVOSEL VA CLINIC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "FORT RUCKER VA CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Rucker, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.