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NPI Code Detail

MEDICARE: MEMPHIS VAMC

MEDICARE: MEMPHIS VAMC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital

General Provider Information

NPI Number : 1255381695
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEMPHIS VAMC
Provider Business Mailing Address
First Line : PO BOX 94511
Second Line :
City : CLEVELAND
State : OH
Zip : 44101
Country : US
Telephone Number : 615-355-3451
Fax Number :
Provider Business Practice Location Address
First Line : 116 N PAULINE ST
Second Line :
City : MEMPHIS
State : TN
Zip : 38104-1005
Country : US
Telephone Number : 615-355-3451
Fax Number :
Authorized Official
Title or Position : NPI TEAM MEMBER
Name : ERIN POTTER
Credential :
Telephone Number : 202-382-2579
Provider Enumeration Date : 05/10/2006
Last Update Date : 04/12/2024

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Directions to “MEMPHIS VAMC ” Practice Location

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