GAYLORD VA CLINIC
NPI 1003869843
Clinic/Center - VA in Gaylord, MI

Active since May 19, 2006CLIA 23D1048371 · Accreditation
2782 S OTSEGO AVE, GAYLORD, MI 49735(608) 821-7200(608) 821-7658 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Oct 12, 2023, Feb 24, 2023, Oct 18, 2022 and 2 more (5 updates tracked since 2017).

About Gaylord Va Clinic NPPES

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

GAYLORD VA CLINIC (NPI 1003869843) is a healthcare organization registered as a va in Gaylord, Michigan and active in the NPI registry since May 2006. The organization holds an CLIA Accreditation certificate valid through September 30, 2026 and lists Erin Potter, Npi Team, as its authorized official.

NPPES Registry Identity

NPI1003869843
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameSAGINAW VAMC
Location Address2782 S OTSEGO AVEGaylord, MI 49735-9404
Mailing AddressPo Box 94487Cleveland, OH 44101-4487 · (608) 821-7200 · Fax (608) 821-7658
Fax(608) 821-7658
Organization SubpartNo
Authorized OfficialErin PotterNpi Team · (202) 382-2579
Enumeration DateMay 19, 2006
Last NPPES UpdateOctober 12, 20235 updates tracked since enumeration
NPPES CertifiedOctober 12, 2023
NPI 1003869843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
2782 S OTSEGO AVE, Gaylord, MI 49735

Other Names 1

Other NameGaylord Va Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 23D1048371

Gaylord Opc · Gaylord, MI
Active · expires Sep 30, 2026
CLIA Number23D1048371
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 30, 2005
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorYaseen Mohiudin
Laboratory Phone(989) 732-7325
Laboratory LocationGaylord Opc2782 South Otsego Ave, Gaylord, MI 49735
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 16

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

General Practice
2782 S OTSEGO AVE
GAYLORD, MI 49735
Social Worker
2782 S OTSEGO AVE
GAYLORD, MI 49735
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2782 S OTSEGO AVE
GAYLORD, MI 49735
Technician/Technologist (Optometric Technician)
2782 S OTSEGO AVE
GAYLORD, MI 49735
Social Worker (Clinical)
2782 S OTSEGO AVE
GAYLORD, MI 49735
Physician Assistant
2782 S OTSEGO AVE
GAYLORD, MI 49735
Social Worker (Clinical)
2782 S OTSEGO AVE
GAYLORD, MI 49735
Physician Assistant
2782 S OTSEGO AVE
GAYLORD, MI 49735

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 Saginaw Vamc's NPI number?

The NPI number for Saginaw Vamc is 1003869843. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is also known as Gaylord VA Clinic.

Where is Saginaw Vamc located?

Saginaw Vamc is located at 2782 S Otsego Ave, Gaylord, MI 49735. The listed phone number is (608) 821-7200.

What is Saginaw Vamc's specialty?

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

Does Saginaw Vamc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 23D1048371) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Saginaw Vamc was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.