Organization Active NPI

Chillicothe Vamc

  • VA Clinic/Center
  • New Boston, OH
National Provider Identifier
1992742241
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
CHILLICOTHE VAMC
Practice address
4038 Rhodes Ave
New Boston, OH 45662-5527
Phone
(608) 821-7200
Fax
(608) 821-7658
NPI assigned
Jun 2, 2006
Last updated
Feb 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 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
Phone
(202) 382-2579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X NU Primary

Addresses

Primary practice location

4038 Rhodes Ave
New Boston, OH 45662-5527

Mailing address

PO Box 94475
Cleveland, OH 44101-4475
Phone (608) 821-7200

Other names 2

  • NEW BOSTON VA CLINIC Other name
  • Portsmouth VA CBOC Other name

National Provider Directory

National Provider Directory
Tax ID family
Chillicothe Vamc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

4038 Rhodes Ave
Portsmouth, OH 45662
Phone (740) 353-3236

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1992742241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94475",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014475",
            "telephone_number": "608-821-7200",
            "fax_number": "608-821-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4038 RHODES AVE",
            "city": "NEW BOSTON",
            "state": "OH",
            "postal_code": "456625527",
            "telephone_number": "608-821-7200",
            "fax_number": "608-821-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILLICOTHE VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "NPI TEAM",
        "authorized_official_telephone_number": "202-382-2579"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW BOSTON VA CLINIC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Portsmouth VA CBOC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Boston, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.