MEDICARE: ALTOONA 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	:	1699029025
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTOONA VAMC

Provider Business Mailing Address
First Line	:	PO BOX 94430
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44101-4430
Country	:	US
Telephone Number	:	717-277-6568
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 IRMC DR
Second Line	:
City	:	INDIANA
State	:	PA
Zip	:	15701-3673
Country	:	US
Telephone Number	:	717-277-6568
Fax Number	:

Authorized Official
Title or Position	:	NPI TEAM
Name	:	ERIN DENISE POTTER
Credential	:
Telephone Number	:	202-382-2579

Provider Enumeration Date	:	11/07/2012
Last Update Date	:	10/27/2025

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