LACROSSE VA CLINIC
NPI 1104873298
Clinic/Center - VA in La Crosse, WI
Active since May 27, 2006
About Lacrosse Va Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LACROSSE VA CLINIC (NPI 1104873298) is a healthcare organization registered as a va in La Crosse, Wisconsin and active in the NPI registry since May 2006. The organization lists Erin Potter, Npi Team, as its authorized official.
NPPES Registry Identity
NPI1104873298
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameTOMAH VAMC
Location Address4000 STATE ROAD 16La Crosse, WI 54601-1809
Mailing AddressPo Box 94488Cleveland, OH 44101-4488 · (608) 821-7200 · Fax (608) 821-7658
Phone(608) 821-7200
Fax(608) 821-7658
Organization SubpartNo
Authorized OfficialErin PotterNpi Team · (202) 382-2579
Enumeration DateMay 27, 2006
Last NPPES UpdateFebruary 23, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
✔ NPI 1104873298 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
4000 STATE ROAD 16, La Crosse, WI 54601
Other Names 1
Other NameLacrosse Va Clinic
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Family)
4000 STATE ROAD 16, VALLEY VIEW MALL ANNEX
LA CROSSE, WI 54601
LA CROSSE, WI 54601
Pharmacist (Pharmacotherapy)
4000 STATE ROAD 16
LA CROSSE, WI 54601
LA CROSSE, WI 54601
Registered Nurse (Ambulatory Care)
4000 STATE ROAD 16
LA CROSSE, WI 54601
LA CROSSE, WI 54601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104873298, enumerated as an "organization" on May 27, 2006.
The provider is located at 4000 STATE ROAD 16 LA CROSSE, WI 54601 and the phone number is (608) 821-7200.
Clinic/Center with taxonomy code 261QV0200X and a focus in VA.