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GREENVILLE VA CBOC
NPI 1104865211
Clinic/Center - VA in Greenville, SC

Active since June 05, 2006
41 PARK CREEK DR, GREENVILLE, SC 29605(828) 257-2333 Get Directions Write a Review

NPPES record last updated: April 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Greenville Va Cboc NPPES

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

GREENVILLE VA CBOC (NPI 1104865211) is a healthcare organization registered as a va in Greenville, South Carolina and active in the NPI registry since June 2006. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1104865211
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameCOLUMBIA VAMC
Location Address41 PARK CREEK DRGreenville, SC 29605-4270
Mailing AddressPo Box 89478Cleveland, OH 44101-6478 · (828) 257-2333
Phone(828) 257-2333
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateJune 5, 2006
Last NPPES UpdateApril 17, 2018
✔ NPI 1104865211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
41 PARK CREEK DR, Greenville, SC 29605
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Other Names 1

Other NameGreenville Va Cboc

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.

DR. MARC TARO ISHIZUKA D.O.
Psychiatry & Neurology (Psychiatry)
41 PARK CREEK DR, VA OUTPATIENT CLINIC IN GREENVILLE
GREENVILLE, SC 29605
Greenville County (864) 299-1600
DANA RONCONI LISW-CP
Social Worker (Clinical)
41 PARK CREEK DR
GREENVILLE, SC 29605
Greenville County (864) 299-1600
MRS. AMANDA JOHNSON-LATHAM LISW-CP
Social Worker (Clinical)
41 PARK CREEK DR
GREENVILLE, SC 29605
Greenville County (864) 299-1600
DR. SCOTT MOGAVERO OD
Optometrist
41 PARK CREEK DR
GREENVILLE, SC 29605
Greenville County (864) 299-1600
BRITTNEY CHANTELL WHITE LCSW, LISW-CP
Social Worker (Clinical)
41 PARK CREEK DR
GREENVILLE, SC 29605
Greenville County (864) 640-0065
DR. KEVIN IRMITER PH.D.
Psychologist (Counseling)
41 PARK CREEK DR
GREENVILLE, SC 29605
Greenville County (864) 299-1600
MRS. DONNA SHILANE OUTLAW-THOMAS APRN-PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
41 PARK CREEK DR
GREENVILLE, SC 29605
Greenville County (803) 600-7106
DR. SARAH CANNON D.M.D.
Dentist (General Practice)
41 PARK CREEK DR
GREENVILLE, SC 29605
Greenville County (864) 299-1600

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 Columbia Vamc's NPI number?

The NPI number for Columbia Vamc is 1104865211. It was assigned to this organization in the NPPES registry on June 5, 2006. The provider is also known as Greenville VA Cboc.

Where is Columbia Vamc located?

Columbia Vamc is located at 41 Park Creek Dr, Greenville, SC 29605. The listed phone number is (828) 257-2333.

What is Columbia 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 Columbia Vamc was last updated on April 17, 2018. 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.