Organization · Type 2 NPI

Indianapolis Vamc

VA Clinic/Center · Bloomington, IN

NPI number 1790173078 Active

Practice location

1332 Arch Haven Avenue
Bloomington, IN 47403-2079

Fax (608) 821-7658

Mailing address

PO Box 94483
Cleveland, OH 44101-4483

Specialties and licenses

TaxonomyCodeLicense
VA Clinic/Center Primary 261QV0200XNone listed

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About NPI 1790173078

Indianapolis Vamc's National Provider Identifier is 1790173078, issued on Jan 8, 2015. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Bloomington, IN. The record was last updated on Feb 24, 2023.