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Cincinnati Vamc

Clinic/Center, VA in Georgetown, OH. Organization (NPI-2).

NPI number1417200023
StatusActive
Last updated in NPPESFeb 24, 2023

Details

NPI
1417200023
Entity type
Organization (NPI-2)
Legal business name
Cincinnati Vamc
Organization subpart
No
Enumeration date
Oct 19, 2012
Certification date
Feb 24, 2023
Last updated
Feb 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QV0200X Clinic/Center, VA––Yes

Other names

  • Georgetown Va Clinic (Other Name)

Practice location

474 Home Street
Georgetown, OH 45121-1459

Phone 608-821-7200 · Fax 608-821-7658

Mailing address

Po Box 94476
Cleveland, OH 44101-4476

Phone 608-821-7200 · Fax 608-821-7658

Authorized official

Erin Potter
Npi Team
2023822579

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