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TWIN FALLS VA CLINIC
NPI 1164461042
Clinic/Center - VA in Twin Falls, ID

Active since June 06, 2006
260 2ND AVE E, SUITE 12, TWIN FALLS, ID 83301(702) 341-3164 Get Directions Write a Review

NPPES record last updated: October 31, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 31, 2017, Feb 27, 2017 (2 updates tracked since 2017).

About Twin Falls Va Clinic NPPES

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

TWIN FALLS VA CLINIC (NPI 1164461042) is a healthcare organization registered as a va in Twin Falls, Idaho and active in the NPI registry since June 2006. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1164461042
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameBOISE VAMC
Location Address260 2ND AVE E, SUITE 12Twin Falls, ID 83301-6242
Mailing AddressPo Box 94402Cleveland, OH 44101-4402 · (702) 341-3164
Phone(702) 341-3164
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateJune 6, 2006
Last NPPES UpdateOctober 31, 20172 updates tracked since enumeration
✔ NPI 1164461042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
260 2ND AVE E, Twin Falls, ID 83301
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Other Names 1

Other NameTwin Falls Va Clinic

Other Providers at the Same Location NPPES 14

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

LARRY KIRK HAZEN LCSW
Social Worker (Clinical)
260 2ND AVE E
TWIN FALLS, ID 83301
Twin Falls County (208) 732-0947
MARY MAVENCAMP LPN
Licensed Practical Nurse
260 2ND AVE E
TWIN FALLS, ID 83301
Twin Falls County (208) 732-0959
MR. ALEX J TUBBS LCSW
Social Worker (Clinical)
260 2ND AVE E
TWIN FALLS, ID 83301
Twin Falls County (208) 732-0947
AMBER J SOMERS LPN
Licensed Practical Nurse
260 2ND AVE E
TWIN FALLS, ID 83301
Twin Falls County (208) 732-0959
KAREN J JENNINGS
Registered Nurse
260 2ND AVE E
TWIN FALLS, ID 83301
Twin Falls County (208) 732-0959
JASON LEE TAYLOR NP-C
Nurse Practitioner (Primary Care)
260 2ND AVE E
TWIN FALLS, ID 83301
Twin Falls County (208) 732-0959
SHANNON MARIE OWEN RN
Registered Nurse
260 2ND AVE E
TWIN FALLS, ID 83301
Twin Falls County (208) 732-0959
JACOB MANUEL HERNANDEZ LPN
Licensed Practical Nurse
260 2ND AVE E
TWIN FALLS, ID 83301
Twin Falls County (208) 732-0959

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 Boise Vamc's NPI number?

The NPI number for Boise Vamc is 1164461042. It was assigned to this organization in the NPPES registry on June 6, 2006. The provider is also known as Twin Falls VA Clinic.

Where is Boise Vamc located?

Boise Vamc is located at 260 2nd Ave E Suite 12, Twin Falls, ID 83301. The listed phone number is (702) 341-3164.

What is Boise 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 Boise Vamc was last updated on October 31, 2017. 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.