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NPI Code Detail

MEDICARE: DAYTON VAMC

MEDICARE: DAYTON 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 : 1518916733
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAYTON VAMC
Provider Business Mailing Address
First Line : PO BOX 94479
Second Line :
City : CLEVELAND
State : OH
Zip : 44101-4479
Country : US
Telephone Number : 608-821-7200
Fax Number : 608-821-7658
Provider Business Practice Location Address
First Line : 4100 W 3RD ST
Second Line :
City : DAYTON
State : OH
Zip : 45428-9000
Country : US
Telephone Number : 608-821-7200
Fax Number : 608-821-7658
Authorized Official
Title or Position : NPI TEAM
Name : ERIN POTTER
Credential :
Telephone Number : 202-382-2579
Provider Enumeration Date : 05/06/2006
Last Update Date : 02/24/2023

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Directions to “DAYTON VAMC ” Practice Location

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