Memphis Vamc
Clinic/Center, VA in Jonesboro, AR. Organization (NPI-2).
NPI number1619923398
StatusActive
Last updated in NPPESSep 1, 2021
Details
- NPI
- 1619923398
- Entity type
- Organization (NPI-2)
- Legal business name
- Memphis Vamc
- Organization subpart
- No
- Enumeration date
- May 25, 2006
- Certification date
- Sep 1, 2021
- Last updated
- Sep 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QV0200X | Clinic/Center, VA | – | – | Yes |
Other names
- Jonesboro Va Clinic (Other Name)
- Jonesboro Va Cboc (Other Name)
Practice location
1843 E Highland Dr Ste BJonesboro, AR 72401-6118
Phone 615-355-3451
Mailing address
Po Box 94511Cleveland, OH 44101
Phone 615-355-3451
Authorized official
Erin Potter
Npi Team Member
2023822579
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