NPIMap

Organization Active NPI

Walla Walla Vamc

  • VA Clinic/Center
  • Union Gap, WA
National Provider Identifier
1992745723
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
WALLA WALLA VAMC
Practice address
1211 Ahtanum Ridge Dr
Union Gap, WA 98903-9998
Phone
(702) 341-3164
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Erin Potter
Title
Npi Team
Phone
(202) 382-2579

Specialties & licenses 1

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

Addresses

Primary practice location

1211 Ahtanum Ridge Dr
Union Gap, WA 98903-9998

Mailing address

PO Box 94423
Cleveland, OH 44101-4423
Phone (702) 341-3164

Other names 1

  • Union Gap VA Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Dept of Veteran Affairs11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

1211 Ahtanum Ridge Dr
Union Gap, WA 98903
Phone (509) 966-0199

717 Fruitvale Blvd
Yakima, WA 98902
Phone (509) 540-5543

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1992745723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94423",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014423",
            "telephone_number": "702-341-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 AHTANUM RIDGE DR",
            "city": "UNION GAP",
            "state": "WA",
            "postal_code": "989039998",
            "telephone_number": "702-341-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLA WALLA VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-02-02",
        "certification_date": "2023-01-27",
        "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",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Gap VA Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Union Gap VA Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Union Gap, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.