ANTHEM VA CLINIC
NPI 1477504975
Clinic/Center - VA in Anthem, AZ
Active since May 12, 2006
About Anthem Va Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTHEM VA CLINIC (NPI 1477504975) is a healthcare organization registered as a va in Anthem, Arizona and active in the NPI registry since May 2006. The organization lists Erin Potter, Npi Team Member, as its authorized official.
NPPES Registry Identity
NPI1477504975
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NamePRESCOTT VAMC
Location Address41810 N VENTURE DR BLDG BAnthem, AZ 85086-3169
Mailing AddressPo Box 94411Cleveland, OH 44101-4411 · (702) 341-3152
Phone(702) 341-3152
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateMay 12, 2006
Last NPPES UpdateMay 3, 20182 updates tracked since enumeration
✔ NPI 1477504975 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
41810 N VENTURE DR BLDG B, Anthem, AZ 85086
Other Names 1
Other NameAnthem Va Clinic
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477504975, enumerated as an "organization" on May 12, 2006.
The provider is located at 41810 N VENTURE DR BLDG B ANTHEM, AZ 85086 and the phone number is (702) 341-3152.
Clinic/Center with taxonomy code 261QV0200X and a focus in VA.
