Organization · Type 2 NPI
Prescott Vamc
VA Clinic/Center · Polacca, AZ
NPI number
1669857975
Active
Practice location
Highway 264, Mile Post 388
Polacca, AZ 86042-9998
Mailing address
PO Box 94411
Cleveland, OH 44101-4411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None listed |
VA Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1669857975
Prescott Vamc's National Provider Identifier is 1669857975, issued on Jul 28, 2015. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Polacca, AZ. The record was last updated on Nov 1, 2017.