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BANGOR VA CBOC
NPI 1366639973
Clinic/Center - VA in Bangor, PA

Active since September 27, 2007
701 SLATE BELT BLVD, BANGOR, PA 18013(717) 277-6565 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2023, Sep 27, 2022, Feb 14, 2017 (3 updates tracked since 2017).

About Bangor Va Cboc NPPES

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

BANGOR VA CBOC (NPI 1366639973) is a healthcare organization registered as a va in Bangor, Pennsylvania and active in the NPI registry since September 2007. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1366639973
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameWILKES BARRE VAMC
Location Address701 SLATE BELT BLVDBangor, PA 18013-9341
Mailing AddressPo Box 94450Cleveland, OH 44101-4450 · (717) 277-6565
Phone(717) 277-6565
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateSeptember 27, 2007
Last NPPES UpdateJanuary 5, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2023
✔ NPI 1366639973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
701 SLATE BELT BLVD, Bangor, PA 18013
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Other Names 1

Other NameBangor Va Cboc

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. EDWARD LEO RISING COTA
Occupational Therapy Assistant
701 SLATE BELT BLVD
BANGOR, PA 18013
Northampton County (610) 599-1454
SAUNI DAVENPORT OTR/L
Occupational Therapist
701 SLATE BELT BLVD
BANGOR, PA 18013
Northampton County (610) 588-6161
CINDY ANN CHOPEK OTR
Occupational Therapist
701 SLATE BELT BLVD
BANGOR, PA 18013
Northampton County (610) 599-1454
MR. RALPH MICHAEL TURIANO JR. P.T.A.
Physical Therapy Assistant
701 SLATE BELT BLVD
BANGOR, PA 18013
Northampton County (610) 599-1454
SLATE BELT HEALTH & REHABILITATION CENTER, LLC
Skilled Nursing Facility
701 SLATE BELT BLVD
BANGOR, PA 18013
Northampton County (610) 588-6161
MR. NORMAN DOUGLAS THATCHER PTA/COTA
Physical Therapy Assistant
701 SLATE BELT BLVD
BANGOR, PA 18013
Northampton County (610) 599-1454
JOANN SIENKIEWICZ
Physical Therapist
701 SLATE BELT BLVD
BANGOR, PA 18013
Northampton County (610) 588-6161
ANNA JOY KING COTA
Occupational Therapy Assistant
701 SLATE BELT BLVD
BANGOR, PA 18013
Northampton County (610) 588-6161

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 Wilkes Barre Vamc's NPI number?

The NPI number for Wilkes Barre Vamc is 1366639973. It was assigned to this organization in the NPPES registry on September 27, 2007. The provider is also known as Bangor VA Cboc.

Where is Wilkes Barre Vamc located?

Wilkes Barre Vamc is located at 701 Slate Belt Blvd, Bangor, PA 18013. The listed phone number is (717) 277-6565.

What is Wilkes Barre 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 Wilkes Barre Vamc was last updated on January 5, 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.