NPIMap

Organization Active NPI

Amarillo Vamc

  • VA Clinic/Center
  • Lubbock, TX
National Provider Identifier
1790746188
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
License
541255 Issued in TX
Legal business name
AMARILLO VAMC
Practice address
3510 4TH St
Lubbock, TX 79415-9998
Phone
(615) 355-3451
NPI assigned
Mar 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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 541255 TX Primary

Addresses

Primary practice location

3510 4TH St
Lubbock, TX 79415-9998

Mailing address

PO Box 94400
Cleveland, OH 44101-4400
Phone (615) 355-3451

Other names 1

  • LUBBOCK VA CLINIC Other name

National Provider Directory

National Provider Directory
Tax ID family
Amarillo 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

3510 4th St
Lubbock, TX 79415
Phone (806) 472-3400

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1790746188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94400",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014400",
            "telephone_number": "615-355-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 4TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794159998",
            "telephone_number": "615-355-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARILLO VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2021-06-02",
        "certification_date": "2021-05-04",
        "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": "TX",
            "license": "541255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUBBOCK VA CLINIC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "LUBBOCK VA CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.