MCCOMB VA CBOC
NPI 1467762120
Clinic/Center - VA in Mccomb, MS
About Mccomb Va Cboc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCCOMB VA CBOC (NPI 1467762120) is a healthcare organization registered as a va in Mccomb, Mississippi and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Erin Potter, Npi Team Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D2017091
Mccomb VA Primary Care · Mccomb, MSOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jackson Vamc's NPI number?
The NPI number for Jackson Vamc is 1467762120. It was assigned to this organization in the NPPES registry on October 15, 2010. The provider is also known as Mccomb VA Cboc.
Where is Jackson Vamc located?
Jackson Vamc is located at 1308 Harrison Ave, Mccomb, MS 39648. The listed phone number is (615) 355-3451.
What is Jackson Vamc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.
Does Jackson Vamc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2017091) is associated with this NPI, valid through December 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Jackson Vamc was last updated on October 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mccomb Va Cboc · NPI 1467762120
VA organization in Mccomb, Mississippi. Organization record, active in the CMS NPPES registry since October 15, 2010.
## Identity
- **NPI:** 1467762120 (Entity type: Organization)
- **Enumerated:** October 15, 2010
- **Primary specialty:** Clinic/Center - VA · taxonomy 261QV0200X
- **Legal business name:** Jackson Vamc
- **Organization subpart:** No
- **Authorized official:** Erin Potter, NPI TEAM MEMBER
## Practice location
- **Address:** 1308 HARRISON AVE, Mccomb, MS 39648-2830
- **Phone:** (615) 355-3451
## Record status
- **NPPES last updated:** October 4, 2017
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1467762120) · Data from the CMS NPPES public registry.