NPIMap

Organization Active NPI

Wilkes Barre Vamc

  • VA Clinic/Center
  • Bloomsburg, PA
National Provider Identifier
1922059591
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
WILKES BARRE VAMC
Practice address
225 Columbia Mall Dr
Bloomsburg, PA 17815-8368
Phone
(717) 277-6565
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

225 Columbia Mall Dr
Bloomsburg, PA 17815-8368

Mailing address

PO Box 94450
Cleveland, OH 44101-4450
Phone (717) 277-6565

Other names 1

  • BLOOMSBURG VA CLINIC Other name

National Provider Directory

National Provider Directory
Tax ID family
Wilkes Barre Vamc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

225 Columbia Mall Dr
Bloomsburg, PA 17815
Phone (570) 387-2516

26 Columbia Mall Dr
Bloomsburg, PA 17815

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1922059591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94450",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014450",
            "telephone_number": "717-277-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 COLUMBIA MALL DR",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178158368",
            "telephone_number": "717-277-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES BARRE VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "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": "BLOOMSBURG VA CLINIC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "BLOOMSBURG VA CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bloomsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.