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CAMDENTON VA CLINIC
NPI 1508808775
Clinic/Center - VA in Camdenton, MO

Active since June 12, 2006
30 LAKEVIEW CT, CAMDENTON, MO 65020(913) 578-4409 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 9, 2022, Dec 13, 2017, Sep 29, 2015 (3 updates tracked since 2015).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • VA

About CAMDENTON VA CLINIC

This page provides the complete NPI Profile along with additional information for Camdenton Va Clinic, a provider established in Camdenton, Missouri operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1508808775 assigned on June 2006. The practitioner's primary taxonomy code is 261QV0200X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is Camdenton Va Clinic. The authorized official of this NPI record is Erin Potter (Npi Team Member)

NPI
1508808775 Verify this NPI
Provider Legal Name
KANSAS CITY VAMC
Other Organization Name
CAMDENTON VA CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
30 LAKEVIEW CT CAMDENTON, MO 65020
Location Phone
(913) 578-4409
Mailing Address
PO BOX 94458 CLEVELAND, OH 44101
Mailing Phone
(913) 578-4409
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-12-2006
Last Update Date
06-09-2022
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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

Reviews for CAMDENTON VA CLINIC

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Frequently Asked Questions

What is KANSAS CITY VAMC's NPI number?

The NPI number assigned to this healthcare provider is 1508808775, enumerated as an "organization" on June 12, 2006.

Where is the provider located?

The provider is located at 30 LAKEVIEW CT CAMDENTON, MO 65020 and the phone number is (913) 578-4409.

What is the provider's specialty?

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