MOUNTAIN HOME VA CLINIC
NPI 1003223165
Clinic/Center - VA in Mountain Home, ID

Active since July 21, 2014
815 N 6TH E, MOUNTAIN HOME, ID 83647(702) 341-3164 Get Directions Write a Review

NPPES record last updated: October 31, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2017, Feb 27, 2017 (2 updates tracked since 2017).

About Mountain Home Va Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN HOME VA CLINIC (NPI 1003223165) is a healthcare organization registered as a va in Mountain Home, Idaho and active in the NPI registry since July 2014. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1003223165
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameBOISE VAMC
Location Address815 N 6TH EMountain Home, ID 83647-2207
Mailing AddressPo Box 94402Cleveland, OH 44101-4402 · (702) 341-3164
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateJuly 21, 2014
Last NPPES UpdateOctober 31, 20172 updates tracked since enumeration
NPI 1003223165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
815 N 6TH E, Mountain Home, ID 83647

Other Names 1

Other NameMountain Home Va Clinic

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
815 N 6TH E
MOUNTAIN HOME, ID 83647
Dentist (General Practice)
815 N 6TH E
MOUNTAIN HOME, ID 83647
Registered Nurse (General Practice)
815 N 6TH E
MOUNTAIN HOME, ID 83647
Licensed Practical Nurse
815 N 6TH E
MOUNTAIN HOME, ID 83647
Registered Nurse
815 N 6TH E
MOUNTAIN HOME, ID 83647
Licensed Practical Nurse
815 N 6TH E
MOUNTAIN HOME, ID 83647
Dentist (General Practice)
815 N 6TH E
MOUNTAIN HOME, ID 83647
Registered Nurse (General Practice)
815 N 6TH E
MOUNTAIN HOME, ID 83647

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boise Vamc's NPI number?

The NPI number for Boise Vamc is 1003223165. It was assigned to this organization in the NPPES registry on July 21, 2014. The provider is also known as Mountain Home VA Clinic.

Where is Boise Vamc located?

Boise Vamc is located at 815 N 6th E, Mountain Home, ID 83647. The listed phone number is (702) 341-3164.

What is Boise Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

When was this NPI record last updated?

The NPPES record for Boise Vamc was last updated on October 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.