MEMPHIS VAMC NPI 1205072436

NPI Information

  • NPI: 1205072436
  • Provider Name: MEMPHIS VAMC
  • Classification: Clinic/Center - 261QV0200X
  • Specialization: VA
  • Entity Type: Organization
  • Other Name: JACKSON VA CBOC
  • Address: 180 OLD HICKORY BLVD
    SUITE A
    JACKSON, TN
    ZIP 38305
  • Phone: (615) 355-3451

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NPI Details

MEMPHIS VAMC is a va clinic center in Jackson, TN. MEMPHIS VAMC NPI is 1205072436. The provider is registered as an organization entity type.
The provider Other Name Is Jackson Va Cboc.

The provider's business location address is:

180 OLD HICKORY BLVD
SUITE A
JACKSON, TN
ZIP 38305-562
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 12/17/2008 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
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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