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NPI Code Detail

MEDICARE: BIG SPRING VAMC

MEDICARE: BIG SPRING 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
1332100000XDepartment of Veterans Affairs (VA) Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14594190OTHERTXNCPDP#

General Provider Information

NPI Number : 1407813538
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIG SPRING VAMC
Provider Business Mailing Address
First Line : PO BOX 92601
Second Line :
City : CLEVELAND
State : OH
Zip : 44101
Country : US
Telephone Number : 615-355-3451
Fax Number :
Provider Business Practice Location Address
First Line : 300 VETERANS BLVD
Second Line :
City : BIG SPRING
State : TX
Zip : 79720-5566
Country : US
Telephone Number : 432-263-7361
Fax Number : 432-264-4896
Authorized Official
Title or Position : NPI TEAM
Name : ERIN POTTER
Credential :
Telephone Number : 202-382-2579
Provider Enumeration Date : 05/01/2006
Last Update Date : 05/31/2024

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Directions to “BIG SPRING VAMC ” Practice Location

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