Healthcare Provider Details

I. General information

NPI: 1376500041
Provider Name (Legal Business Name): W. G. (BILL) HEFNER VAMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 BRENNER AVE
SALISBURY NC
28144-2515
US

IV. Provider business mailing address

1601 BRENNER AVE
SALISBURY NC
28144-2515
US

V. Phone/Fax

Practice location:
  • Phone: 704-436-5368
  • Fax:
Mailing address:
  • Phone: 704-436-5368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberLCAS
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License NumberNCBON 045785
License Number StateNC

VIII. Authorized Official

Name: MRS. REBECCA SUE BARRINGER
Title or Position: CLINICAL NURSE SPECIALIST
Credential: MSN
Phone: 704-638-9000