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FOURTH STREET VA CLINIC
NPI 1316324486
Clinic/Center - VA in Philadelphia, PA

Active since April 28, 2015
213 N 4TH ST, PHILADELPHIA, PA 19106(717) 277-6565 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 5, 2023, Sep 27, 2022 (2 updates tracked since 2022).

About Fourth Street Va Clinic NPPES

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

FOURTH STREET VA CLINIC (NPI 1316324486) is a healthcare organization registered as a va in Philadelphia, Pennsylvania and active in the NPI registry since April 2015. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1316324486
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NamePHILADELPHIA VAMC
Location Address213 N 4TH STPhiladelphia, PA 19106-1801
Mailing AddressPo Box 94446Cleveland, OH 44101-4446 · (717) 277-6565
Phone(717) 277-6565
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateApril 28, 2015
Last NPPES UpdateJanuary 5, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2023
✔ NPI 1316324486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
213 N 4TH ST, Philadelphia, PA 19106
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Other Names 1

Other NameFourth Street Va Clinic

Other Providers at the Same Location NPPES 2

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

JASON LEE PIRRUNG LCSW
Social Worker (Clinical)
213 N 4TH ST
PHILADELPHIA, PA 19106
Philadelphia County (267) 808-1982
HOLLIE METRIONE LSW
Social Worker
213 N 4TH ST
PHILADELPHIA, PA 19106
Philadelphia County (856) 366-3621

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 Philadelphia Vamc's NPI number?

The NPI number for Philadelphia Vamc is 1316324486. It was assigned to this organization in the NPPES registry on April 28, 2015. The provider is also known as Fourth Street VA Clinic.

Where is Philadelphia Vamc located?

Philadelphia Vamc is located at 213 N 4th St, Philadelphia, PA 19106. The listed phone number is (717) 277-6565.

What is Philadelphia 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 Philadelphia Vamc was last updated on January 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.