CLEVELAND VA CBOC
NPI 1154337558
Clinic/Center in Cleveland, WI

Q: What is Cleveland VA Cboc's NPI number?

The NPI number for Cleveland VA Cboc is 1154337558. It was assigned to this organization in the NPPES registry on July 31, 2006.

Q: What is Cleveland VA Cboc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Cleveland VA Cboc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 31, 2006

1205 NORTH AVE, CLEVELAND, WI 53015(188) 469-6614 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Cleveland Va Cboc NPPES

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

CLEVELAND VA CBOC (NPI 1154337558) is a healthcare organization registered as a clinic/center in Cleveland, Wisconsin and active in the NPI registry since July 2006. The organization lists Agnes E. Deehr, Lpn, as its authorized official.

NPPES Registry Identity

NPI1154337558

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameCLEVELAND VA CBOC

Location Address1205 NORTH AVECleveland, WI 53015-1413

Mailing Address336 E Jefferson AveCleveland, WI 53015-1530 · (920) 693-8478

Phone(188) 469-6614

Organization SubpartNo

Authorized OfficialAgnes E. DeehrLpn · (920) 693-5600

Enumeration DateJuly 31, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1154337558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in WI · 8882-031

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1205 NORTH AVE, Cleveland, WI 53015

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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AMY SUE MCKENZIE MSW LCSW SAC

Social Worker (Clinical)