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NPI Code Detail

MEDICARE: GRAND JUNCTION VAMC

MEDICARE: GRAND JUNCTION VAMC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital

General Provider Information

NPI Number : 1407806441
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRAND JUNCTION VAMC
Provider Business Mailing Address
First Line : PO BOX 94457
Second Line :
City : CLEVELAND
State : OH
Zip : 44101-4457
Country : US
Telephone Number : 913-578-4409
Fax Number :
Provider Business Practice Location Address
First Line : 2121 NORTH AVE
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-6428
Country : US
Telephone Number : 913-578-4409
Fax Number :
Authorized Official
Title or Position : NPI TEAM MEMBER
Name : ERIN POTTER
Credential :
Telephone Number : 202-382-2579
Provider Enumeration Date : 05/11/2006
Last Update Date : 12/13/2017

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1093773988 — GRAND JUNCTION VAMC
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Directions to “GRAND JUNCTION VAMC ” Practice Location

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