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NPI Code Detail

MEDICARE: ANCHORAGE VAMC

MEDICARE: ANCHORAGE 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
1261QV0200XVA Clinic/Center

General Provider Information

NPI Number : 1427465582
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANCHORAGE VAMC
Provider Business Mailing Address
First Line : PO BOX 91596
Second Line :
City : CLEVELAND
State : OH
Zip : 44101-3596
Country : US
Telephone Number : 702-341-3164
Fax Number :
Provider Business Practice Location Address
First Line : 4141 PENNOCK ST
Second Line :
City : HOMER
State : AK
Zip : 99603-7223
Country : US
Telephone Number : 702-341-3164
Fax Number :
Authorized Official
Title or Position : NPI TEAM MEMBER
Name : ERIN POTTER
Credential :
Telephone Number : 202-382-2579
Provider Enumeration Date : 07/21/2014
Last Update Date : 11/03/2020

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Directions to “ANCHORAGE VAMC ” Practice Location

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