GREEN BAY VA CLINIC
NPI 1003861014
Clinic/Center - VA in Green Bay, WI
Active since May 24, 2006
About Green Bay Va Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREEN BAY VA CLINIC (NPI 1003861014) is a healthcare organization registered as a va in Green Bay, Wisconsin and active in the NPI registry since May 2006. The organization lists Erin Potter, Npi Team, as its authorized official.
NPPES Registry Identity
NPI1003861014
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameMILWAUKEE VAMC
Location Address2851 UNIVERSITY AVEGreen Bay, WI 54311-5855
Mailing AddressPo Box 94489Cleveland, OH 44101-4489 · (608) 821-7200 · Fax (608) 821-7658
Phone(608) 821-7200
Fax(608) 821-7658
Organization SubpartNo
Authorized OfficialErin PotterNpi Team · (202) 382-2579
Enumeration DateMay 24, 2006
Last NPPES UpdateFebruary 23, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
✔ NPI 1003861014 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
2851 UNIVERSITY AVE, Green Bay, WI 54311
Other Names 1
Other NameGreen Bay Va Clinic
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003861014, enumerated as an "organization" on May 24, 2006.
The provider is located at 2851 UNIVERSITY AVE GREEN BAY, WI 54311 and the phone number is (608) 821-7200.
Clinic/Center with taxonomy code 261QV0200X and a focus in VA.