Omaha Vamc
Organization Active NPI VA Clinic/Center · Shenandoah, IA
NPI 1811149529 · NPPES record last updated May 25, 2021
Key facts
- NPI
- 1811149529
- Entity type
- Organization (NPI type 2)
- Primary specialty
- VA Clinic/Center 261QV0200X
- Legal business name
- OMAHA VAMC
- Practice address
- 2043 A Ave
Shenandoah, IA 51601-4505 - Phone
- (913) 578-4409
- NPI assigned
- Oct 14, 2008
- Organization subpart
- No
Authorized official
- Name
- Erin Potter
- Title
- Npi Team Member
- Phone
- (202) 382-2579
Corporate family (same tax ID) 48
National Provider Directory
- Tax ID family
- Omaha Vamc
Locations
2043 A Ave
Shenandoah, IA 51601
Phone (712) 246-0092
512 S Fremont St
Shenandoah, IA 51601
Phone (712) 246-0092
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| VA Clinic/Center | 261QV0200X | Yes |
Addresses
Primary practice location
2043 A Ave
Shenandoah, IA 51601-4505
Mailing address
PO Box 94460
Cleveland, OH 44101-4460
Phone (913) 578-4409
Other names
- SHENANDOAH VA CLINIC
Other providers in Shenandoah, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.