MEDICARE: HONOLULU 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
1	261QV0200X	VA Clinic/Center

General Provider Information

NPI Number	:	1386035350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HONOLULU VAMC

Provider Business Mailing Address
First Line	:	PO BOX 94406
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44101-4406
Country	:	US
Telephone Number	:	702-341-3020
Fax Number	:

Provider Business Practice Location Address
First Line	:	628-B SEVENTH STREET
Second Line	:
City	:	LANAI CITY
State	:	HI
Zip	:	96783-9678
Country	:	US
Telephone Number	:	702-341-3020
Fax Number	:

Authorized Official
Title or Position	:	NPI TEAM MEMBER
Name	:	ERIN POTTER
Credential	:
Telephone Number	:	202-382-2579

Provider Enumeration Date	:	02/12/2015
Last Update Date	:	12/10/2019

Similar Medicare Providers

1538311402 — JASON TSE OTD, OTR/L
Practice Location Address:

28-2815 HAWAII BELT RD
PEPEEKEO, HI
96783-9678

Practice Phone: 626-536-4519
Practice Fax:

1457760878 — COSENTINO GROUP INC
Practice Location Address:

9717 N ASH AVE
KANSAS CITY, MO
64157-9678

Practice Phone: 816-883-2775
Practice Fax: 816-883-2778

1992871784 — TEMPLE CITY PROFESSIONAL PHARMACY INC.
Practice Location Address:

9678 LAS TUNAS DR
TEMPLE CITY, CA
91780-2139

Practice Phone: 626-286-9762
Practice Fax: 626-286-7476

1134364979 — STEPHANIE M LEE
Practice Location Address:

4083 SASSAFRAS CT
GROVE CITY, OH
43123-9678

Practice Phone: 614-378-5980
Practice Fax: 614-875-0240

1528313046 — KATHERINE SALSBURY
Practice Location Address:

9717 N ASH AVE
KANSAS CITY, MO
64157-9678

Practice Phone: 816-883-2775
Practice Fax:

1083005375 — OMS REHAB, LLC
Practice Location Address:

9678 MARION RIDGE DR
KANSAS CITY, MO
64137

Practice Phone: 816-783-5003
Practice Fax: 816-783-5004

Directions to “HONOLULU VAMC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.