PORT JERVIS VA CLINIC
NPI 1104863760
Clinic/Center - VA in Port Jervis, NY

Q: What is Montrose Vamc's NPI number?

The NPI number for Montrose Vamc is 1104863760. It was assigned to this organization in the NPPES registry on June 1, 2006. The provider is also known as Port Jervis VA Clinic.

Q: What is Montrose Vamc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Montrose Vamc was last updated on January 10, 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.

Active since June 01, 2006

100 PIKE ST, PORT JERVIS, NY 12771(717) 277-6565 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2023, Sep 6, 2022, Feb 4, 2020 and 1 more (4 updates tracked since 2015).

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About Port Jervis Va Clinic NPPES

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

PORT JERVIS VA CLINIC (NPI 1104863760) is a healthcare organization registered as a va in Port Jervis, New York and active in the NPI registry since June 2006. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1104863760

Entity TypeOrganization

Primary Taxonomy261QV0200X

Legal Business NameMONTROSE VAMC

Location Address100 PIKE STPort Jervis, NY 12771-1831

Mailing AddressPo Box 94442Cleveland, OH 44101-4442 · (717) 277-6565

Phone(717) 277-6565

Organization SubpartNo

Authorized OfficialErin PotterNpi Team Member · (202) 382-2579

Enumeration DateJune 1, 2006

Last NPPES UpdateJanuary 10, 20234 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2023

✔ NPI 1104863760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities

Taxonomy Code261QV0200X

100 PIKE ST, Port Jervis, NY 12771

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Other Names 1

Other NamePort Jervis Va Clinic

Other Providers at the Same Location NPPES

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

MS. KATHLEEN MARIE LAMONT B.S.PHARMACY

Pharmacist

100 PIKE ST
PORT JERVIS, NY 12771

Orange County (845) 856-8342

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 Montrose Vamc's NPI number?

The NPI number for Montrose Vamc is 1104863760. It was assigned to this organization in the NPPES registry on June 1, 2006. The provider is also known as Port Jervis VA Clinic.

Where is Montrose Vamc located?

Montrose Vamc is located at 100 Pike St, Port Jervis, NY 12771. The listed phone number is (717) 277-6565.

What is Montrose 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 Montrose Vamc was last updated on January 10, 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.