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PHOENIX VAMC NPI 1174065791


NPI Information

NPI: 1174065791
Provider Name: PHOENIX VAMC

Other Name: PHOENIX 2 VA CLINIC

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

Specialization: VA

Address:
5040 N 15TH AVE
PHOENIX, AZ
ZIP 85015
Phone: (702) 341-3152
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PHOENIX VAMC is a va clinic center in Phoenix, AZ. PHOENIX VAMC NPI is 1174065791. The provider is registered as an organization entity type.
The provider Other Name Is Phoenix 2 Va Clinic.

The provider's business location address is:

5040 N 15TH AVE
PHOENIX, AZ
ZIP 85015-328
Phone: (702) 341-3152

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 11/14/2016 and was last updated on 11/1/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.