MANISTIQUE VA CBOC
NPI 1114334174
Clinic/Center - VA in Manistique, MI

Active since July 22, 2014
813 EAST LAKESHORE DRIVE, MANISTIQUE, MI 49854(608) 821-7200(608) 821-7658 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 23, 2023, Oct 20, 2022, Nov 5, 2018 (3 updates tracked since 2018).

About Manistique Va Cboc NPPES

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

MANISTIQUE VA CBOC (NPI 1114334174) is a healthcare organization registered as a va in Manistique, Michigan and active in the NPI registry since July 2014. The organization lists Erin Potter, Npi Team, as its authorized official.

NPPES Registry Identity

NPI1114334174
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameIRON MOUNTAIN VAMC
Location Address813 EAST LAKESHORE DRIVEManistique, MI 49854-1683
Mailing AddressPo Box 94484Cleveland, OH 44101-4484 · (608) 821-7200 · Fax (608) 821-7658
Fax(608) 821-7658
Organization SubpartNo
Authorized OfficialErin PotterNpi Team · (202) 382-2579
Enumeration DateJuly 22, 2014
Last NPPES UpdateFebruary 23, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
NPI 1114334174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
813 EAST LAKESHORE DRIVE, Manistique, MI 49854

Other Names 1

Other NameManistique Va Cboc

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 Iron Mountain Vamc's NPI number?

The NPI number for Iron Mountain Vamc is 1114334174. It was assigned to this organization in the NPPES registry on July 22, 2014. The provider is also known as Manistique VA Cboc.

Where is Iron Mountain Vamc located?

Iron Mountain Vamc is located at 813 East Lakeshore Drive, Manistique, MI 49854. The listed phone number is (608) 821-7200.

What is Iron Mountain 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 Iron Mountain Vamc was last updated on February 23, 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.