MEMPHIS VAMC NPI 1073552436

NPI Information

NPI: 1073552436
Provider Name: MEMPHIS VAMC

Other Name: TUPELO VA CBOC

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

Specialization: VA

Address:
1114 COMMONWEALTH BLVD.
TUPELO, MS
ZIP 38804
Phone: (615) 355-3451
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MEMPHIS VAMC is a va clinic center in Tupelo, MS. MEMPHIS VAMC NPI is 1073552436. The provider is registered as an organization entity type.
The provider Other Name Is Tupelo Va Cboc.

The provider's business location address is:

1114 COMMONWEALTH BLVD.
TUPELO, MS
ZIP 38804-998
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 CLIA number assigned to this NPI record is 25D2101589 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 9/13/2017.

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: 4/28/2024

NPI Synchronization or Removal

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