Organization · Type 2 NPI
Mountain Home Vamc
VA Clinic/Center · Vansant, VA
NPI number
1306234448
Active
Practice location
1941 Lover's Gap Lane, Suite A
Vansant, VA 24656-9998
Mailing address
PO Box 94516
Cleveland, OH 44101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None listed |
VA Clinic/Center: Definition to come...
About NPI 1306234448
Mountain Home Vamc's National Provider Identifier is 1306234448, issued on Dec 23, 2014. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Vansant, VA. The record was last updated on Sep 7, 2017.