ROCKFORD VA CBOC
NPI 1174567770
Clinic/Center - VA in Rockford, IL

Q: What is Madison Vamc's NPI number?

The NPI number for Madison Vamc is 1174567770. It was assigned to this organization in the NPPES registry on June 15, 2006. The provider is also known as Rockford VA Cboc.

Q: What is Madison Vamc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Madison 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.

Active since June 15, 2006CLIA 14D1000261 · Accreditation

816 FEATHERSTONE RD, ROCKFORD, IL 61107(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: September 20, 2026.

Record update history: Feb 23, 2023, Oct 20, 2022 (2 updates tracked since 2022).

On this page

About Rockford Va Cboc NPPES

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

ROCKFORD VA CBOC (NPI 1174567770) is a healthcare organization registered as a va in Rockford, Illinois and active in the NPI registry since June 2006. The organization holds an CLIA Accreditation certificate valid through September 30, 2026 and lists Erin Potter, Npi Team, as its authorized official.

NPPES Registry Identity

NPI1174567770

Entity TypeOrganization

Primary Taxonomy261QV0200X

Legal Business NameMADISON VAMC

Location Address816 FEATHERSTONE RDRockford, IL 61107-6300

Mailing AddressPo Box 94485Cleveland, OH 44101-4485 · (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 DateJune 15, 2006

Last NPPES UpdateFebruary 23, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2023

✔ NPI 1174567770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities

Taxonomy Code261QV0200X

816 FEATHERSTONE RD, Rockford, IL 61107

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Other Names 1

Other NameRockford Va Cboc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 14D1000261

Rockford VA Clinic · Rockford, IL

Active · expires Sep 30, 2026

CLIA Number14D1000261

Laboratory TypeCommunity Clinic

Certificate Effective DateJune 6, 2002

Certificate Expiration DateSeptember 30, 2026

Laboratory DirectorThomas Raj

Laboratory Phone(414) 384-2000

Laboratory LocationRockford VA Clinic816 Featherstone Rd, Rockford, IL 61107

CLIA data matches this NPI record on: Address

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

MR. JAMES MICHAEL HORVATH PHARM.D.

Pharmacist