Mountain Home Vamc

NPI #1316335680 in Jonesville, Virginia

Provider Information

NPI Number: 1316335680
Entity Type: Organization
Organization Name: Mountain Home Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: Jan 8, 2015
Last Updated: Sep 7, 2017

Practice Location

Address: 32613 WILDERNESS ROAD
Address 2: SUITE 101
City: Jonesville
State: Virginia
ZIP Code: 24263-9998
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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