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FAYETTEVILLE VAMC
NPI 1063291961
Clinic/Center - VA in Fayetteville, AR

Active since September 28, 2023
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703(615) 355-3451 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Fayetteville Vamc NPPES

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

FAYETTEVILLE VAMC (NPI 1063291961) is a healthcare organization registered as a va in Fayetteville, Arkansas and active in the NPI registry since September 2023. The organization lists Erin Denise Potter, Npi Team, as its authorized official.

NPPES Registry Identity

NPI1063291961
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameFAYETTEVILLE VAMC
Location Address1100 N COLLEGE AVEFayetteville, AR 72703-1944
Mailing AddressPo Box 94494Cleveland, OH 44101 · (615) 355-3451
Phone(615) 355-3451
Organization SubpartNo
Authorized OfficialErin Denise PotterNpi Team · (202) 382-2579
Enumeration DateSeptember 28, 2023
NPPES CertifiedSeptember 27, 2023
✔ NPI 1063291961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
1100 N COLLEGE AVE, Fayetteville, AR 72703
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Other Names 1

Other NameFayetteville Va Mobile 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.

MICHELE L GRIFFIN NP-C
Nurse Practitioner (Family)
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (641) 780-8696
MARTHA JO MCKINNEY APN
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 443-4301
KRISTIN SALMON PA-C
Physician Assistant
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 443-4301
SAVANNAH HILL PA-C
Physician Assistant
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 443-4301
MADISON MARIE-IVEY MCANALLY
Social Worker
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 305-0271
DR. JOHN FRANK CUCHIA MD
Anesthesiology
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 443-4301
FAYETTEVILLE VAMC
General Acute Care Hospital
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (615) 355-3451
DR. DIANA L SHIPMAN MD
Ophthalmology
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 444-5093

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 Fayetteville Vamc's NPI number?

The NPI number for Fayetteville Vamc is 1063291961. It was assigned to this organization in the NPPES registry on September 28, 2023. The provider is also known as Fayetteville VA Mobile Clinic.

Where is Fayetteville Vamc located?

Fayetteville Vamc is located at 1100 N College Ave, Fayetteville, AR 72703. The listed phone number is (615) 355-3451.

What is Fayetteville 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 Fayetteville Vamc was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.