MEDICARE: SAGINAW 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
1	261QV0200X	VA Clinic/Center

General Provider Information

NPI Number	:	1588979801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAGINAW VAMC

Provider Business Mailing Address
First Line	:	PO BOX 94487
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44101-4487
Country	:	US
Telephone Number	:	608-821-7200
Fax Number	:	608-821-7658

Provider Business Practice Location Address
First Line	:	1142 S VAN DYKE RD
Second Line	:
City	:	BAD AXE
State	:	MI
Zip	:	48413-9800
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	:	08/11/2010
Last Update Date	:	10/27/2023

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