DUBOIS CLEARFIELD VA CBOC (ALTOONA VAMC) NPI 1366495848

Clinic/Center (VA) in Du Bois, PA

NPI 1366495848 Organization Clinic/Center VA

About DUBOIS CLEARFIELD VA CBOC (ALTOONA VAMC)

Dubois Clearfield Va Cboc (altoona Vamc) is a provider established in Du Bois, Pennsylvania specializing in clinic/center (va) . The NPI number of Dubois Clearfield Va Cboc (altoona Vamc) is 1366495848 and was assigned on May 2006. The practitioner's primary taxonomy code is 261QV0200X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Dubois Clearfield Va Cboc. The authorized official of this NPI record is Erin Potter (Npi Team Member)

NPI

1366495848

Provider NameDUBOIS CLEARFIELD VA CBOC (ALTOONA VAMC)
Provider Location Address5690 SHAFFER RD DU BOIS, PA 15801
Provider Mailing AddressPO BOX 3004 LEBANON, PA 17042
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameDUBOIS CLEARFIELD VA CBOC
Other Name TypeOther Name (5)
Enumeration Date05-18-2006
Last Update Date02-16-2017


Primary Taxonomy

Taxonomy Code261QV0200X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationVA

Business Address

DUBOIS CLEARFIELD VA CBOC
5690 SHAFFER RD
DU BOIS, PA
ZIP 15801
Phone: (717) 277-6565

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Mailing Address

DUBOIS CLEARFIELD VA CBOC
PO BOX 3004
LEBANON, PA
ZIP 17042
Phone: (717) 277-6565



Authorized Official

Authorized Official Name ERIN POTTER
Authorized Official TitleNPI TEAM MEMBER
Authorized Official Phone(202) 382-2579

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447267752 KRISTEN WILLIAMS CRNP
Individual
Nurse Practitioner (Adult Health)5690 SHAFFER RD
DU BOIS, PA 15801
(814) 375-6817
1275977431MR. ERIC NILS LUNDBLOM LMSW
Individual
Social Worker5690 SHAFFER RD
DU BOIS, PA 15801
(814) 375-6817
1700819257DR. WILLIAM SCOTT DEPP-HUTCHINSON MD
Individual
Family Medicine5690 SHAFFER RD
DU BOIS, PA 15801
(814) 375-6817
1194182360DR. JESSE LYNN MERWIN O.D.
Individual
Optometrist5690 SHAFFER RD
DU BOIS, PA 15801
(814) 375-6817
1598206989MISS MARY KATHRYN MILLS FNP-C
Individual
Nurse Practitioner (Family)5690 SHAFFER RD
DU BOIS, PA 15801
(814) 375-6817
1285308940 RACHEL ELIZABETH BERRY AU.D.
Individual
Audiologist5690 SHAFFER RD
DU BOIS, PA 15801
(814) 375-6817

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.