PHILADELPHIA VAMC NPI 1134517360

NPI Information

  • NPI: 1134517360
  • Provider Name: PHILADELPHIA VAMC
  • Classification: Clinic/Center - 261QV0200X
  • Specialization: VA
  • Entity Type: Organization
  • Other Name: CHESTNUT STREET VA CLINIC
  • Address: 4219 CHESTNUT ST
    PHILADELPHIA, PA
    ZIP 19104
  • Phone: (717) 277-6565

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NPI Details

PHILADELPHIA VAMC is a va clinic center in Philadelphia, PA. PHILADELPHIA VAMC NPI is 1134517360. The provider is registered as an organization entity type.
The provider Other Name Is Chestnut Street Va Clinic.

The provider's business location address is:

4219 CHESTNUT ST
PHILADELPHIA, PA
ZIP 19104-014
Phone: (717) 277-6565

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 12/22/2014 and was last updated on 1/5/2023.

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
1261QV0200XClinic/CenterVAYes

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: 11/21/2025

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