DETROIT VAMC
NPI 1104674639
Clinic/Center - VA in Trenton, MI
Active since May 09, 2024
About Detroit Vamc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DETROIT VAMC (NPI 1104674639) is a healthcare organization registered as a va in Trenton, Michigan and active in the NPI registry since May 2024. The organization lists Erin Denise Potter, Npi Team, as its authorized official.
NPPES Registry Identity
NPI1104674639
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameDETROIT VAMC
Location Address1640 FORT ST STE DTrenton, MI 48183-2040
Mailing AddressPo Box 94480Cleveland, OH 44101-4480 · (608) 821-7200 · Fax (608) 821-7658
Phone(608) 821-7200
Fax(608) 821-7658
Organization SubpartNo
Authorized OfficialErin Denise PotterNpi Team · (202) 382-2579
Enumeration DateMay 9, 2024
NPPES CertifiedMay 9, 2024
✔ NPI 1104674639 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
1640 FORT ST STE D, Trenton, MI 48183
Other Names 1
Other NameTrenton 1 Va Clinic
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104674639, enumerated as an "organization" on May 09, 2024.
The provider is located at 1640 FORT ST STE D TRENTON, MI 48183 and the phone number is (608) 821-7200.
Clinic/Center with taxonomy code 261QV0200X and a focus in VA.
