BLOOMINGTON VA CLINIC
NPI 1609426709
Clinic/Center - VA in Bloomington, IL

Q: What is Danville Vamc's NPI number?

The NPI number for Danville Vamc is 1609426709. It was assigned to this organization in the NPPES registry on September 19, 2019. The provider is also known as Bloomington VA Clinic.

Q: What is Danville Vamc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Danville Vamc was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 19, 2019CLIA 14D2173863 · Accreditation

207 E HAMILTON RD, BLOOMINGTON, IL 61704(608) 821-7200(608) 821-7658 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Feb 22, 2023, Oct 20, 2022, Sep 19, 2019 (3 updates tracked since 2019).

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About Bloomington Va Clinic NPPES

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

BLOOMINGTON VA CLINIC (NPI 1609426709) is a healthcare organization registered as a va in Bloomington, Illinois and active in the NPI registry since September 2019. The organization holds an CLIA Accreditation certificate valid through September 30, 2026 and lists Erin Denise Potter, Npi Team, as its authorized official.

NPPES Registry Identity

NPI1609426709

Entity TypeOrganization

Primary Taxonomy261QV0200X

Legal Business NameDANVILLE VAMC

Location Address207 E HAMILTON RDBloomington, IL 61704-7527

Mailing AddressPo Box 94478Cleveland, OH 44101-4478 · (608) 821-7200 · Fax (608) 821-7658

Phone(608) 821-7200

Fax(608) 821-7658

Organization SubpartNo

Authorized OfficialErin Denise PotterNpi Team · (202) 382-2579

Enumeration DateSeptember 19, 2019

Last NPPES UpdateFebruary 22, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2023

✔ NPI 1609426709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities

Taxonomy Code261QV0200X

207 E HAMILTON RD, Bloomington, IL 61704

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Other Names 1

Other NameBloomington Va Clinic

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 Accreditation 14D2173863

Bloomington VA Clinic · Bloomington, IL

Active · expires Sep 30, 2026

CLIA Number14D2173863

Laboratory TypeCommunity Clinic

Certificate Effective DateOctober 21, 2019

Certificate Expiration DateSeptember 30, 2026

Laboratory DirectorDorothy Kurylo

Laboratory Phone(309) 827-3374

Laboratory LocationBloomington VA Clinic207 Hamilton Road, Bloomington, IL 61704

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 8

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

ELAYNA FEHR MS, RDN, LDN, CLC

Dietitian, Registered