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RAVENNA VA CBOC
NPI 1124175153
Clinic/Center - VA in Ravenna, OH

Active since January 04, 2007
6751 N CHESTNUT ST, RAVENNA, OH 44266(608) 821-7200(608) 821-7658 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2023, Oct 5, 2022, Mar 1, 2017 (3 updates tracked since 2017).

About Ravenna Va Cboc NPPES

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

RAVENNA VA CBOC (NPI 1124175153) is a healthcare organization registered as a va in Ravenna, Ohio and active in the NPI registry since January 2007. The organization lists Erin Potter, Npi Team, as its authorized official.

NPPES Registry Identity

NPI1124175153
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameCLEVELAND VAMC
Location Address6751 N CHESTNUT STRavenna, OH 44266-3903
Mailing AddressPo Box 94477Cleveland, OH 44101-4477 · (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 DateJanuary 4, 2007
Last NPPES UpdateFebruary 24, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2023
✔ NPI 1124175153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
6751 N CHESTNUT ST, Ravenna, OH 44266
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Other Names 1

Other NameRavenna 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. JANET ELAINE WERKNER PH.D., L.I.S.W.
Social Worker (Clinical)
6751 N CHESTNUT ST
RAVENNA, OH 44266
Portage County (330) 296-3641
LISA M BORIS LISW
Social Worker (Clinical)
6751 N CHESTNUT ST
RAVENNA, OH 44266
Portage County (330) 296-3641
AMANDA NICOLE WEISE
Student in an Organized Health Care Education/Training Program
6751 N CHESTNUT ST
RAVENNA, OH 44266
Portage County (330) 296-3641
DR. TARA LYNN CLARK PSYD
Psychologist (Clinical)
6751 N CHESTNUT ST
RAVENNA, OH 44266
Portage County (330) 296-3641
BILLY JAMES MAGNUS II LPN
Licensed Practical Nurse
6751 N CHESTNUT ST
RAVENNA, OH 44266
Portage County (330) 296-3641
DENISE E DUES RN
Registered Nurse (General Practice)
6751 N CHESTNUT ST
RAVENNA, OH 44266
Portage County (330) 296-3641
DR. SUDHEERA KALEPU M.D.
Internal Medicine
6751 N CHESTNUT ST
RAVENNA, OH 44266
Portage County (330) 296-3641
RUDOLPH PEKAROVIC III
Nurse Practitioner (Psychiatric/Mental Health)
6751 N CHESTNUT ST
RAVENNA, OH 44266
Portage County (330) 296-3641

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 Cleveland Vamc's NPI number?

The NPI number for Cleveland Vamc is 1124175153. It was assigned to this organization in the NPPES registry on January 4, 2007. The provider is also known as Ravenna VA Cboc.

Where is Cleveland Vamc located?

Cleveland Vamc is located at 6751 N Chestnut St, Ravenna, OH 44266. The listed phone number is (608) 821-7200.

What is Cleveland 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 Cleveland Vamc was last updated on February 24, 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.