Healthcare Provider Details

I. General information

NPI: 1851342042
Provider Name (Legal Business Name): DENVER VAMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2006
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21825 E QUINCY AVE
AURORA CO
80018-3155
US

IV. Provider business mailing address

PO BOX 94455
CLEVELAND OH
44101-4455
US

V. Phone/Fax

Practice location:
  • Phone: 913-578-4409
  • Fax: 913-578-4536
Mailing address:
  • Phone: 913-578-4409
  • Fax: 913-578-4536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QV0200X
TaxonomyVA Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERIN POTTER
Title or Position: NPI TEAM
Credential:
Phone: 202-382-2579