NPIMap

Organization Active NPI

Fort Meade Vamc

  • VA Clinic/Center
  • Winner, SD
National Provider Identifier
1922049378
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
FORT MEADE VAMC
Practice address
660 West 2ND Street
Avera Winner Medical Clinic
Winner, SD 57580-1218
Phone
(913) 578-4409
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

660 West 2ND Street
Avera Winner Medical Clinic
Winner, SD 57580-1218

Mailing address

PO Box 94456
Cleveland, OH 44101-4456
Phone (913) 578-4409

Other names 1

  • WINNER VA CLINIC Other name

National Provider Directory

National Provider Directory
Tax ID family
VA Black Hills HCS13 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": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1922049378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94456",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014456",
            "telephone_number": "913-578-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 WEST 2ND STREET",
            "address_2": "AVERA WINNER MEDICAL CLINIC",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575801218",
            "telephone_number": "913-578-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT MEADE VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2018-10-26",
        "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": "WINNER VA CLINIC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "WINNER VA CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winner, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.