NPI Code Details Logo

NPI 1245283126

NPI 1245283126 : ANN ARBOR VAMC : FLINT, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1245283126
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ANN ARBOR VAMC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/19/2006
-----------------------------------------------------
    Last Update Date     |    01/22/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    G-2360 SOUTH LINDEN RD 
-----------------------------------------------------
    City                 |    FLINT
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48532-3615
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    608-821-7200
-----------------------------------------------------
    Fax                  |    608-821-7658
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 94472 
-----------------------------------------------------
    City                 |    CLEVELAND
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    44101-4472
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    608-821-7200
-----------------------------------------------------
    Fax                  |    608-821-7658
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    NPI TEAM
-----------------------------------------------------
    Name                 |     ERIN  POTTER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    202-382-2579
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QV0200X
-----------------------------------------------------
    Taxonomy Name        |    VA Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.