San Antonio Vamc
Clinic/Center, VA in Randolph Afb, TX. Organization (NPI-2).
NPI number1295500403
StatusActive
Last updated in NPPESNov 17, 2023
Details
- NPI
- 1295500403
- Entity type
- Organization (NPI-2)
- Legal business name
- San Antonio Vamc
- Organization subpart
- No
- Enumeration date
- Nov 17, 2023
- Certification date
- Nov 17, 2023
- Last updated
- Nov 17, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QV0200X | Clinic/Center, VA | – | – | Yes |
Other names
- Randolph Afb Va Clinic (Other Name)
Practice location
221 3rd St WRandolph Afb, TX 78150-4800
Phone 615-355-3451
Mailing address
Po Box 94546Cleveland, OH 44101-4546
Phone 615-355-3451
Authorized official
Erin Denise Potter
Npi Team Lead
2023822579
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