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NPI Code Detail

MEDICARE: HUNTINGTON VAMC

MEDICARE: HUNTINGTON 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
1315D00000XInpatient Hospice
2251E00000XHome Health Agency
3261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
4314000000XSkilled Nursing Facility
5282N00000XGeneral Acute Care Hospital

General Provider Information

NPI Number : 1669421319
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUNTINGTON VAMC
Provider Business Mailing Address
First Line : PO BOX 94496
Second Line :
City : CLEVELAND
State : OH
Zip : 44101-4496
Country : US
Telephone Number : 828-257-2333
Fax Number :
Provider Business Practice Location Address
First Line : 1540 SPRING VALLEY DR
Second Line :
City : HUNTINGTON
State : WV
Zip : 25704-9300
Country : US
Telephone Number : 828-257-3777
Fax Number :
Authorized Official
Title or Position : NPI TEAM MEMBER
Name : ERIN POTTER
Credential :
Telephone Number : 202-382-2579
Provider Enumeration Date : 05/09/2006
Last Update Date : 04/12/2018

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