INDIANAPOLIS VAMC NPI 1790173078

NPI Information

NPI: 1790173078
Provider Name: INDIANAPOLIS VAMC

Other Name: BLOOMINGTON 1 VA CLINIC

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

Specialization: VA

Address:
1332 ARCH HAVEN AVENUE
BLOOMINGTON, IN
ZIP 47403
Phone: (608) 821-7200
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INDIANAPOLIS VAMC is a va clinic center in Bloomington, IN. INDIANAPOLIS VAMC NPI is 1790173078. The provider is registered as an organization entity type.
The provider Other Name Is Bloomington 1 Va Clinic.

The provider's business location address is:

1332 ARCH HAVEN AVENUE
BLOOMINGTON, IN
ZIP 47403-079
Phone: (608) 821-7200

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 1/8/2015 and was last updated on 10/25/2016.

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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