FAYETTEVILLE 4 VA CLINIC
NPI 1194256362
Clinic/Center - VA in Fayetteville, NC

Active since March 21, 2017
4101 RAEFORD ROAD, SUITE 100-B, FAYETTEVILLE, NC 28304(828) 257-2333 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2018, Mar 21, 2017 (2 updates tracked since 2017).

About Fayetteville 4 Va Clinic NPPES

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

FAYETTEVILLE 4 VA CLINIC (NPI 1194256362) is a healthcare organization registered as a va in Fayetteville, North Carolina and active in the NPI registry since March 2017. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1194256362
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameFAYETTEVILLE VAMC
Location Address4101 RAEFORD ROAD, SUITE 100-BFayetteville, NC 28304-4114
Mailing AddressPo Box 89494Cleveland, OH 44101-6494 · (828) 257-2333
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateMarch 21, 2017
Last NPPES UpdateApril 11, 20182 updates tracked since enumeration
NPI 1194256362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
4101 RAEFORD ROAD, Fayetteville, NC 28304

Other Names 1

Other NameFayetteville 4 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 Fayetteville Vamc's NPI number?

The NPI number for Fayetteville Vamc is 1194256362. It was assigned to this organization in the NPPES registry on March 21, 2017. The provider is also known as Fayetteville 4 VA Clinic.

Where is Fayetteville Vamc located?

Fayetteville Vamc is located at 4101 Raeford Road Suite 100-B, Fayetteville, NC 28304. The listed phone number is (828) 257-2333.

What is Fayetteville 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 Fayetteville Vamc was last updated on April 11, 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.