GAINESVILLE VAMC NPI 1376910968

NPI Information

GAINESVILLE VAMC is a clinic center in Perry, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GAINESVILLE VAMC NPI is 1376910968. The provider is registered as an organization entity type.
The provider Other Name Is Perry Va Clinic.

The provider's business location address is:

1224 N PEACOCK AVE
PERRY, FL
ZIP 32347-117
Phone: (888) 263-1889

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 CLIA number assigned to this NPI record is 10D2099235 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/31/2015 and was last updated on 3/7/2017.

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:

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