Mountain Home Vamc

NPI #1306234448 in Vansant, Virginia

Provider Information

NPI Number: 1306234448
Entity Type: Organization
Organization Name: Mountain Home Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: Dec 23, 2014
Last Updated: Sep 7, 2017

Practice Location

Address: 1941 LOVER'S GAP LANE
Address 2: SUITE A
City: Vansant
State: Virginia
ZIP Code: 24656-9998
Phone: (615) 355-3451

Authorized Official

Name: ERIN POTTER
Title: NPI TEAM MEMBER
Phone: (202) 382-2579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - VA — VA	261QV0200X	Primary

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