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COLUMBUS VA AMBULATORY CARE CENTER NPI 1720139371


NPI Information

NPI: 1720139371
Provider Name: COLUMBUS VA AMBULATORY CARE CENTER

Other Name: NEWARK VA CLINIC

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

Specialization: VA

CLIA Number: 36D1018101

Address:
1855 W MAIN ST
NEWARK, OH
ZIP 43055
Phone: (608) 821-7200
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COLUMBUS VA AMBULATORY CARE CENTER is a va clinic center in Newark, OH. COLUMBUS VA AMBULATORY CARE CENTER NPI is 1720139371. The provider is registered as an organization entity type.
The provider Other Name Is Newark Va Clinic.

The provider's business location address is:

1855 W MAIN ST
NEWARK, OH
ZIP 43055-135
Phone: (608) 821-7200
Fax: (608) 821-7658

The provider's authorized official is Erin Denise 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 36D1018101 - other - urgent care with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/12/2007 and was last updated on 2/24/2023.


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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.