Fort Meade Vamc

NPI #1386688018 in Pine Ridge, South Dakota

Provider Information

NPI Number: 1386688018
Entity Type: Organization
Organization Name: Fort Meade Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: Jun 15, 2006
Last Updated: Dec 11, 2020

Practice Location

Address: HOSPITAL ROAD
Address 2: PINE RIDGE INDIAN RESERVATION
City: Pine Ridge
State: South Dakota
ZIP Code: 57770-9998
Phone: (913) 578-4409

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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