Healthcare Provider Details

I. General information

NPI: 1558398701
Provider Name (Legal Business Name): VETERAN AFFAIRS MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 H EAST STREET
IRONMOUNTAIN MI
49801-6657
US

IV. Provider business mailing address

110 BRADLEY ST
IRON MOUNTAIN MI
49801-6657
US

V. Phone/Fax

Practice location:
  • Phone: 907-774-3300
  • Fax: 906-779-3143
Mailing address:
  • Phone: 906-774-0362
  • Fax: 906-779-3180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code281P00000X
TaxonomyChronic Disease Hospital
License Number4301081826
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number4301081826
License Number StateMI

VIII. Authorized Official

Name: DR. HARNINDER SINGH - SINGH
Title or Position: PHYSICIAN
Credential: MD
Phone: 906-774-3300