Fayetteville Vamc
Organization Active NPI VA Clinic/Center · Supply, NC
NPI 1962819052 · NPPES record last updated Apr 11, 2018
Key facts
- NPI
- 1962819052
- Entity type
- Organization (NPI type 2)
- Primary specialty
- VA Clinic/Center 261QV0200X
- Legal business name
- FAYETTEVILLE VAMC
- Practice address
- 18 Doctors Cir Ste 2
Supply, NC 28462-4089 - Phone
- (828) 257-2333
- NPI assigned
- Jul 21, 2014
- Organization subpart
- No
Authorized official
- Name
- Erin Potter
- Title
- Npi Team Member
- Phone
- (202) 382-2579
Corporate family (same tax ID) 22
National Provider Directory
- Tax ID family
- Fayetteville Vamc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| VA Clinic/Center | 261QV0200X | Yes |
Addresses
Primary practice location
18 Doctors Cir Ste 2
Supply, NC 28462-4089
Mailing address
PO Box 89494
Cleveland, OH 44101-6494
Phone (828) 257-2333
Other names
- SUPPLY VA CLINIC
Other providers in Supply, NC
- Brandon Eric Devito
- Brenda Kay Dushek
- Edward E. Hayes M.D.LLC
- Essential Connections Consulting & Wellness Services LLC
- Kaitlyn Marie Etheridge
- Kathryn Gay Flood
- John Full
- William Stewart Futch Jr.
- Galloway Sands LLC
- Galloway Sands, LLC
All providers in Supply, NC · VA Clinic/Center in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2018. 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.