LITTLE ROCK VAMC NPI 1063450617

NPI Information

NPI: 1063450617
Provider Name: LITTLE ROCK VAMC

Other Name: MOUNTAIN HOME VA CLINIC

Classification: Clinic/Center - 261QV0200X
Entity Type: Organization

Specialization: VA

Address:
759 HIGHWAY 62 E
SUITE 331
MOUNTAIN HOME, AR
ZIP 72653
Phone: (615) 355-3451
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LITTLE ROCK VAMC is a va clinic center in Mountain Home, AR. LITTLE ROCK VAMC NPI is 1063450617. The provider is registered as an organization entity type.
The provider Other Name Is Mountain Home Va Clinic.

The provider's business location address is:

759 HIGHWAY 62 E
SUITE 331
MOUNTAIN HOME, AR
ZIP 72653-260
Phone: (615) 355-3451

The provider's authorized official is Erin Potter .
The authorized official title is Npi Team Member and has the following contact phone number (202) 382-2579.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 9/26/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QV0200X	Clinic/Center	VA			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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