MEDICARE: MUSKOGEE 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	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1952264772
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUSKOGEE VAMC

Provider Business Mailing Address
First Line	:	PO BOX 94517
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44101-4517
Country	:	US
Telephone Number	:	913-578-4409
Fax Number	:

Provider Business Practice Location Address
First Line	:	440 S HOUSTON AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74127-8903
Country	:	US
Telephone Number	:	913-578-4409
Fax Number	:

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

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “MUSKOGEE VAMC ” Practice Location

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