Organization · Type 2 NPI
Mountain Home Vamc
VA Clinic/Center · Johnson City, TN
NPI number
1982236907
Active
Practice location
500 Washington Ave
Johnson City, TN 37604-5518
Mailing address
PO Box 94516
Cleveland, OH 44101-4516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None listed |
VA Clinic/Center: Definition to come...
About NPI 1982236907
Mountain Home Vamc's National Provider Identifier is 1982236907, issued on Feb 7, 2020. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Johnson City, TN. The record was last updated on Feb 7, 2020.