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DEPARTMENT OF VETERANS AFFAIRS
NPI 1417123258
Clinic/Center - Federally Qualified Health Center (FQHC) in Texarkana, AR

Active since May 01, 2008
910 REALTOR AVENUE, TEXARKANA, AR 71854(870) 824-4181 Get Directions Write a Review

NPPES record last updated: May 1, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Department Of Veterans Affairs NPPES

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

DEPARTMENT OF VETERANS AFFAIRS (NPI 1417123258) is a healthcare organization registered as a federally qualified health center (fqhc) in Texarkana, Arkansas and active in the NPI registry since May 2008. The organization lists Timothy D. Greathouse, Staff Nurse, as its authorized official.

NPPES Registry Identity

NPI1417123258
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameDEPARTMENT OF VETERANS AFFAIRS
Location Address910 REALTOR AVENUETexarkana, AR 71854-5066
Mailing Address1107 Locust StTexarkana, AR 71854-5066 · (903) 824-4181
Phone(870) 824-4181
Organization SubpartNo
Authorized OfficialTimothy D. GreathouseStaff Nurse · (870) 216-2512
Enumeration DateMay 1, 2008
✔ NPI 1417123258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in AR · L29493
910 REALTOR AVENUE, Texarkana, AR 71854
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Other Providers at the Same Location NPPES

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

DR. BEVERLY J GREER-SIMPSON M.D.
Internal Medicine
910 REALTOR AVENUE, VETERANS OUTPATIENT CLINIC OF TEXARKANA
TEXARKANA, AR 71854
Miller County (870) 779-2702

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 Department Of Veterans Affairs's NPI number?

The NPI number for Department Of Veterans Affairs is 1417123258. It was assigned to this organization in the NPPES registry on May 1, 2008.

Where is Department Of Veterans Affairs located?

Department Of Veterans Affairs is located at 910 Realtor Avenue, Texarkana, AR 71854. The listed phone number is (870) 824-4181.

What is Department Of Veterans Affairs's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Department Of Veterans Affairs was last updated on May 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.