Omaha Vamc

NPI #1578953725 in Macomb, Illinois

Provider Information

NPI Number: 1578953725
Entity Type: Organization
Organization Name: Omaha Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: Jan 27, 2015
Last Updated: Jan 17, 2018

Practice Location

Address: 1 UNIVERSITY CIR
City: Macomb
State: Illinois
ZIP Code: 61455-1367
Phone: (913) 578-4409

Authorized Official

Name: ERIN D 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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