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PHILADELPHIA VAMC NPI 1316324486


NPI Information

NPI: 1316324486
Provider Name: PHILADELPHIA VAMC

Other Name: FOURTH STREET VA CLINIC

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

Specialization: VA

Address:
213 N 4TH ST
PHILADELPHIA, PA
ZIP 19106
Phone: (717) 277-6565
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PHILADELPHIA VAMC is a va clinic center in Philadelphia, PA. PHILADELPHIA VAMC NPI is 1316324486. The provider is registered as an organization entity type.
The provider Other Name Is Fourth Street Va Clinic.

The provider's business location address is:

213 N 4TH ST
PHILADELPHIA, PA
ZIP 19106-801
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 4/28/2015 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 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

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