MEDICARE: EL PASO 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	:	1720605629
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EL PASO VAMC

Provider Business Mailing Address
First Line	:	PO BOX 94426
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44101-4426
Country	:	US
Telephone Number	:	615-355-3451
Fax Number	:	702-341-3503

Provider Business Practice Location Address
First Line	:	5229 SANDERS AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79924-6409
Country	:	US
Telephone Number	:	615-355-3451
Fax Number	:	702-341-3503

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

Provider Enumeration Date	:	06/26/2020
Last Update Date	:	06/26/2020

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Directions to “EL PASO VAMC ” Practice Location

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