1. Home
  2. Directory
  3. Missouri
  4. Mexico
  5. Clinic Center
  6. NPI Profile

MEXICO VA CLINIC
NPI 1033156864
Clinic/Center - VA in Mexico, MO

Active since June 01, 2006
3460 S CLARK STREET, MEXICO, MO 65265(913) 578-4409 Get Directions Write a Review

NPPES record last updated: December 14, 2017. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mexico Va Clinic NPPES

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

MEXICO VA CLINIC (NPI 1033156864) is a healthcare organization registered as a va in Mexico, Missouri and active in the NPI registry since June 2006. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1033156864
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameKANSAS CITY VAMC
Location Address3460 S CLARK STREETMexico, MO 65265-4124
Mailing AddressPo Box 94458Cleveland, OH 44101-4458 · (913) 578-4409
Phone(913) 578-4409
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateJune 1, 2006
Last NPPES UpdateDecember 14, 2017
✔ NPI 1033156864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
3460 S CLARK STREET, Mexico, MO 65265
Open in Google Maps ↗

Other Names 1

Other NameMexico 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 26D1028166

Mexico VA Opc · Mexico, MO
Expired · Sep 30, 2026
CLIA Number26D1028166
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 21, 2004
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorJared H. Coberly
Laboratory Phone(573) 581-9630
Laboratory LocationMexico VA Opc3460 S Clark, Mexico, MO 65265
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.

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 Kansas City Vamc's NPI number?

The NPI number for Kansas City Vamc is 1033156864. It was assigned to this organization in the NPPES registry on June 1, 2006. The provider is also known as Mexico VA Clinic.

Where is Kansas City Vamc located?

Kansas City Vamc is located at 3460 S Clark Street, Mexico, MO 65265. The listed phone number is (913) 578-4409.

What is Kansas City 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 Kansas City Vamc was last updated on December 14, 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.