Healthcare Provider Details

I. General information

NPI: 1518055300
Provider Name (Legal Business Name): DEPARTMENT OF VETERAN AFFAIRS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10701 EAST BLVD
CLEVELAND OH
44106-1702
US

IV. Provider business mailing address

10701 EAST BLVD
CLEVELAND OH
44106-1702
US

V. Phone/Fax

Practice location:
  • Phone: 216-791-3800
  • Fax: 216-421-3218
Mailing address:
  • Phone: 216-791-3800
  • Fax: 216-421-3218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberS0022236
License Number StateOH

VIII. Authorized Official

Name: MRS. SHARON VALENCIA LAMAR
Title or Position: SOCIAL WORKER
Credential: LSW
Phone: 216-791-3800