MEDICARE: PRESCOTT 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	332100000X	Department of Veterans Affairs (VA) Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0327280	OTHER	AZ	NCPDP#

General Provider Information

NPI Number	:	1801854328
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRESCOTT VAMC

Provider Business Mailing Address
First Line	:	PO BOX 94411
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44101-4411
Country	:	US
Telephone Number	:	702-341-3152
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 N HWY 89
Second Line	:
City	:	PRESCOTT
State	:	AZ
Zip	:	86313-5001
Country	:	US
Telephone Number	:	928-445-4860
Fax Number	:	928-776-5301

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	01/13/2023

Similar Medicare Providers

1073506259 — DR. SAMUEL IRWIN DOLNICK D.P.M.
Practice Location Address:

500 N US HIGHWAY 89 , 5TH FLOOR SURGERY
PRESCOTT, AZ
86313-5001

Practice Phone: 928-445-4860
Practice Fax:

1477533776 — PATRICK K HITCHCOCK MD
Practice Location Address:

500 N US HIGHWAY 89
PRESCOTT, AZ
86313-5001

Practice Phone: 928-776-6004
Practice Fax:

1699734111 — MRS. ELIZABETH S PLUMMER RN BC GNP
Practice Location Address:

500 N US HIGHWAY 89 , BUILDING 70, ROOM 131
PRESCOTT, AZ
86313-5001

Practice Phone: 928-776-5461
Practice Fax: 928-776-6181

1659331833 — MR. DANIEL LEE MOFFAT P.A.C.
Practice Location Address:

500 N US HIGHWAY 89
PRESCOTT, AZ
86313-5001

Practice Phone: 928-445-4860
Practice Fax: 928-717-7553

1659338507 — ROSEMARIE S VEDDA PA-C
Practice Location Address:

500 N US HIGHWAY 89
PRESCOTT, AZ
86313-5001

Practice Phone: 928-445-4860
Practice Fax:

1154379865 — MR. KENTON GUY FOUNDAS P.T.
Practice Location Address:

500 N US HIGHWAY 89
PRESCOTT, AZ
86313-5001

Practice Phone: 928-717-7493
Practice Fax: 928-776-6172

Directions to “PRESCOTT VAMC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.