IRON MOUNTAIN VAMC NPI 1588602254

NPI Information

NPI: 1588602254
Provider Name: IRON MOUNTAIN VAMC

Other Name: SAULT SAINTE MARIE VA CLINIC

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

Specialization: VA

Address:
3440 I 75 BUSINESS SPUR
SAULT SAINTE MARIE, MI
ZIP 49783
Phone: (608) 821-7200
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IRON MOUNTAIN VAMC is a va clinic center in Sault Sainte Marie, MI. IRON MOUNTAIN VAMC NPI is 1588602254. The provider is registered as an organization entity type.
The provider Other Name Is Sault Sainte Marie Va Clinic.

The provider's business location address is:

3440 I 75 BUSINESS SPUR
SAULT SAINTE MARIE, MI
ZIP 49783-607
Phone: (608) 821-7200
Fax: (608) 821-7658

The provider's authorized official is Erin Potter .
The authorized official title is Npi Team and has the following contact phone number (202) 382-2579.

The CLIA number assigned to this NPI record is 23D1018230 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 3/22/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QV0200X	Clinic/Center	VA			Yes

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

NPI Synchronization or Removal

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