MOUNTAIN HOME VA CLINIC
NPI 1063450617
Clinic/Center - VA in Mountain Home, AR
About Mountain Home Va Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOUNTAIN HOME VA CLINIC (NPI 1063450617) is a healthcare organization registered as a va in Mountain Home, Arkansas and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 28, 2028 and lists Erin Potter, Npi Team Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 Waiver 04D2112456
Mountain Home Outpatient VA Clinic · Mountain Home, AROther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOUNTAIN HOME, AR 72653
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 Little Rock Vamc's NPI number?
The NPI number for Little Rock Vamc is 1063450617. It was assigned to this organization in the NPPES registry on June 4, 2006. The provider is also known as Mountain Home VA Clinic.
Where is Little Rock Vamc located?
Little Rock Vamc is located at 759 Highway 62 E Suite 331, Mountain Home, AR 72653. The listed phone number is (615) 355-3451.
What is Little Rock Vamc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.
Does Little Rock Vamc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D2112456) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Little Rock Vamc was last updated on September 26, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.
