Fort Meade Vamc

NPI #1619914116 in Newcastle, Wyoming

Provider Information

NPI Number: 1619914116
Entity Type: Organization
Organization Name: Fort Meade Vamc
Primary Specialty: Clinic/Center - VA
Enumeration Date: Jun 1, 2006
Last Updated: Dec 13, 2017

Practice Location

Address: 1124 WASHINGTON BLVD
City: Newcastle
State: Wyoming
ZIP Code: 82701-2972
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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