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NPI Code Detail

MEDICARE: LITTLE ROCK VAMC

MEDICARE: LITTLE ROCK 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 : 1528456894
Entity Type Code : Organization
Provider Name (Legal Business Name) : LITTLE ROCK VAMC
Provider Business Mailing Address
First Line : PO BOX 94499
Second Line :
City : CLEVELAND
State : OH
Zip : 44101
Country : US
Telephone Number : 615-355-3451
Fax Number :
Provider Business Practice Location Address
First Line : 1000 MAIN ST
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72202-3820
Country : US
Telephone Number : 615-355-3451
Fax Number :
Authorized Official
Title or Position : NPI TEAM MEMBER
Name : ERIN POTTER
Credential :
Telephone Number : 202-382-2579
Provider Enumeration Date : 01/08/2015
Last Update Date : 09/26/2017

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Directions to “LITTLE ROCK VAMC ” Practice Location

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