PAYSON VA CBOC
NPI 1215974696
Clinic/Center - VA in Payson, AZ
Active since June 02, 2006
About Payson Va Cboc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAYSON VA CBOC (NPI 1215974696) is a healthcare organization registered as a va in Payson, Arizona and active in the NPI registry since June 2006. The organization lists Erin Potter, Npi Team Member, as its authorized official.
NPPES Registry Identity
NPI1215974696
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NamePHOENIX VAMC
Location Address903 E HIGHWAY 260, SUITE 2Payson, AZ 85531-4972
Mailing AddressPo Box 94413Cleveland, OH 44101-4413 · (702) 341-3152
Phone(702) 341-3152
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateJune 2, 2006
Last NPPES UpdateNovember 1, 2017
✔ NPI 1215974696 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
903 E HIGHWAY 260, Payson, AZ 85531
Other Names 1
Other NamePayson Va Cboc
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215974696, enumerated as an "organization" on June 02, 2006.
The provider is located at 903 E HIGHWAY 260 SUITE 2 PAYSON, AZ 85531 and the phone number is (702) 341-3152.
Clinic/Center with taxonomy code 261QV0200X and a focus in VA.