Mountain Home Vamc

NPI #1467601922 in Bristol, Virginia

Provider Information

NPI Number: 1467601922
Entity Type: Organization
Organization Name: Mountain Home Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: Sep 9, 2008
Last Updated: May 4, 2021

Practice Location

Address: 3130 LEE HWY STE 201
City: Bristol
State: Virginia
ZIP Code: 24202-5943
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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