OKLAHOMA CITY VAMC
NPI 1003544586
Clinic/Center - VA in Shawnee, OK
Active since August 11, 2022
About Oklahoma City Vamc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OKLAHOMA CITY VAMC (NPI 1003544586) is a healthcare organization registered as a va in Shawnee, Oklahoma and active in the NPI registry since August 2022. The organization lists Erin Denise Potter, Npi Team Member, as its authorized official.
NPPES Registry Identity
NPI1003544586
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameOKLAHOMA CITY VAMC
Location Address3700 N KICKAPOO AVE STE 100Shawnee, OK 74804-0007
Mailing AddressPo Box 94537Cleveland, OH 44101-4537 · (615) 355-3451
Phone(615) 355-3451
Organization SubpartNo
Authorized OfficialErin Denise PotterNpi Team Member · (202) 382-2579
Enumeration DateAugust 11, 2022
NPPES CertifiedAugust 11, 2022
✔ NPI 1003544586 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
3700 N KICKAPOO AVE STE 100, Shawnee, OK 74804
Other Names 1
Other NameShawnee Va Clinic
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Family)
3700 N KICKAPOO AVE STE 100
SHAWNEE, OK 74804
SHAWNEE, OK 74804
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003544586, enumerated as an "organization" on August 11, 2022.
The provider is located at 3700 N KICKAPOO AVE STE 100 SHAWNEE, OK 74804 and the phone number is (615) 355-3451.
Clinic/Center with taxonomy code 261QV0200X and a focus in VA.