PORT SAINT LUCIE VA OOS
NPI 1386042620
Clinic/Center - VA in Port Saint Lucie, FL

Active since December 19, 2014
126 SW CHAMBER CT, PORT SAINT LUCIE, FL 34986(866) 793-4591 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 28, 2023, Mar 1, 2017 (2 updates tracked since 2017).

  • Organization
  • Clinic/Center
  • VA

About PORT SAINT LUCIE VA OOS

This page provides the complete NPI Profile along with additional information for Port Saint Lucie Va Oos, a provider established in Port Saint Lucie, Florida operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1386042620 assigned on December 2014. The practitioner's primary taxonomy code is 261QV0200X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Port Saint Lucie Va Oos. The authorized official of this NPI record is Erin Potter (Npi Team Member)

NPI
1386042620 Verify this NPI
Provider Legal Name
WEST PALM BEACH VAMC
Other Organization Name
PORT SAINT LUCIE VA OOS
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
126 SW CHAMBER CT PORT SAINT LUCIE, FL 34986
Location Phone
(866) 793-4591
Mailing Address
PO BOX 94467 CLEVELAND, OH 44101
Mailing Phone
(866) 793-4591
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-19-2014
Last Update Date
03-28-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center VA

Taxonomy Code
261QV0200X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ERIN POTTER

Authorized Official Title
NPI TEAM MEMBER
Authorized Official Phone
(202) 382-2579

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386042620, enumerated as an "organization" on December 19, 2014.

The provider is located at 126 SW CHAMBER CT PORT SAINT LUCIE, FL 34986 and the phone number is (866) 793-4591.

Clinic/Center with taxonomy code 261QV0200X and a focus in VA.