ROOSEVELT VA CLINIC
NPI 1124062898
Clinic/Center - VA in Roosevelt, UT

Q: What is Salt Lake City Vamc's NPI number?

The NPI number for Salt Lake City Vamc is 1124062898. It was assigned to this organization in the NPPES registry on June 15, 2006. The provider is also known as Roosevelt VA Clinic.

Q: What is Salt Lake City Vamc's specialty?

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

Active since June 15, 2006

245 W 200 N, ROOSEVELT, UT 84066(913) 578-4409 Get Directions Write a Review

NPPES record last updated: January 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 17, 2018, Mar 1, 2017 (2 updates tracked since 2017).

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About Roosevelt Va Clinic NPPES

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

ROOSEVELT VA CLINIC (NPI 1124062898) is a healthcare organization registered as a va in Roosevelt, Utah and active in the NPI registry since June 2006. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1124062898

Entity TypeOrganization

Primary Taxonomy261QV0200X

Legal Business NameSALT LAKE CITY VAMC

Location Address245 W 200 NRoosevelt, UT 84066-2740

Mailing AddressPo Box 94463Cleveland, OH 44101-4463 · (913) 578-4409

Phone(913) 578-4409

Organization SubpartNo

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

Enumeration DateJune 15, 2006

Last NPPES UpdateJanuary 17, 20182 updates tracked since enumeration

✔ NPI 1124062898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities

Taxonomy Code261QV0200X

245 W 200 N, Roosevelt, UT 84066

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Other Names 1

Other NameRoosevelt Va Clinic

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 Salt Lake City Vamc's NPI number?

The NPI number for Salt Lake City Vamc is 1124062898. It was assigned to this organization in the NPPES registry on June 15, 2006. The provider is also known as Roosevelt VA Clinic.

Where is Salt Lake City Vamc located?

Salt Lake City Vamc is located at 245 W 200 N, Roosevelt, UT 84066. The listed phone number is (913) 578-4409.

What is Salt Lake City 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 Salt Lake City Vamc was last updated on January 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.