PHOENIX VAMC NPI 1205874351

NPI Information

  • NPI: 1205874351
  • Provider Name: PHOENIX VAMC
  • Classification: Clinic/Center - 261QV0200X
  • Specialization: VA
  • Entity Type: Organization
  • Other Name: SHOW LOW VA CBOC
  • Address: 2450 E SHOW LOW LAKE RD
    SUITE 1
    SHOW LOW, AZ
    ZIP 85901
  • Phone: (702) 341-3152

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NPI Details

PHOENIX VAMC is a va clinic center in Show Low, AZ. PHOENIX VAMC NPI is 1205874351. The provider is registered as an organization entity type.
The provider Other Name Is Show Low Va Cboc.

The provider's business location address is:

2450 E SHOW LOW LAKE RD
SUITE 1
SHOW LOW, AZ
ZIP 85901-953
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 6/2/2006 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 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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