MOUNT VERNON VA CBOC
NPI 1417900671
Clinic/Center - VA in Springfield, MO

Active since May 18, 2006
1850 W REPUBLIC RD, SPRINGFIELD, MO 65807(615) 355-3451 Get Directions Write a Review

NPPES record last updated: January 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 22, 2019, Mar 2, 2017 (2 updates tracked since 2017).

About Mount Vernon Va Cboc NPPES

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

MOUNT VERNON VA CBOC (NPI 1417900671) is a healthcare organization registered as a va in Springfield, Missouri and active in the NPI registry since May 2006. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1417900671
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameFAYETTEVILLE VAMC
Location Address1850 W REPUBLIC RDSpringfield, MO 65807-5730
Mailing AddressPo Box 94494Cleveland, OH 44101 · (615) 355-3451
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateMay 18, 2006
Last NPPES UpdateJanuary 22, 20192 updates tracked since enumeration
NPI 1417900671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
1850 W REPUBLIC RD, Springfield, MO 65807

Other Names 2

Other NameMount Vernon Va Cboc
Other NameSpringfield Va Clinic

Accepted Insurance

Other Providers at the Same Location NPPES 17

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

Optometrist
1850 W REPUBLIC RD
SPRINGFIELD, MO 65807
Registered Nurse (Administrator)
1850 W REPUBLIC RD
SPRINGFIELD, MO 65807
Pharmacist (Pharmacotherapy)
1850 W REPUBLIC RD
SPRINGFIELD, MO 65807
Podiatrist (Foot & Ankle Surgery)
1850 W REPUBLIC RD
SPRINGFIELD, MO 65807
Social Worker
1850 W REPUBLIC RD
SPRINGFIELD, MO 65807
Nurse Practitioner (Family)
1850 W REPUBLIC RD
SPRINGFIELD, MO 65807
Physical Medicine & Rehabilitation
1850 W REPUBLIC RD
SPRINGFIELD, MO 65807
Psychologist (Clinical)
1850 W REPUBLIC RD
SPRINGFIELD, MO 65807

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 Fayetteville Vamc's NPI number?

The NPI number for Fayetteville Vamc is 1417900671. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is also known as Mount Vernon VA Cboc and Springfield VA Clinic.

Where is Fayetteville Vamc located?

Fayetteville Vamc is located at 1850 W Republic Rd, Springfield, MO 65807. The listed phone number is (615) 355-3451.

What is Fayetteville Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

What insurance does Fayetteville Vamc accept?

Health plans from Blue Cross and Blue Shield of Alabama list Fayetteville Vamc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fayetteville Vamc was last updated on January 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.