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NPI Code Detail

MEDICARE: CHILLICOTHE VAMC

MEDICARE: CHILLICOTHE 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
1332100000XDepartment of Veterans Affairs (VA) Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13660683OTHEROHNCPDP#

General Provider Information

NPI Number : 1851359855
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILLICOTHE VAMC
Provider Business Mailing Address
First Line : PO BOX 94475
Second Line :
City : CLEVELAND
State : OH
Zip : 44101-4475
Country : US
Telephone Number : 608-821-7200
Fax Number : 608-821-7658
Provider Business Practice Location Address
First Line : 17273 STATE ROUTE 104
Second Line :
City : CHILLICOTHEE
State : OH
Zip : 45601-9718
Country : US
Telephone Number : 740-773-1141
Fax Number : 740-772-7138
Authorized Official
Title or Position : NPI TEAM
Name : ERIN POTTER
Credential :
Telephone Number : 202-382-2579
Provider Enumeration Date : 05/02/2006
Last Update Date : 02/24/2023

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Directions to “CHILLICOTHE VAMC ” Practice Location

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