Healthcare Provider Details

I. General information

NPI: 1649218579
Provider Name (Legal Business Name): COLUMBIA VAMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 07/31/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

459 LAKESHORE PKWY
ROCK HILL SC
29730-9998
US

IV. Provider business mailing address

PO BOX 89478
CLEVELAND OH
44101-6478
US

V. Phone/Fax

Practice location:
  • Phone: 828-257-2333
  • Fax:
Mailing address:
  • Phone: 828-257-2333
  • Fax:

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