OMAHA VAMC
NPI 1629022108
Clinic/Center - VA in Galesburg, IL

Active since May 20, 2006
1090 W CARL SANDBURG DR STE 100, GALESBURG, IL 61401(913) 578-4409 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • VA

About OMAHA VAMC

This page provides the complete NPI Profile along with additional information for Omaha Vamc, a provider established in Galesburg, Illinois operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1629022108 assigned on May 2006. The practitioner's primary taxonomy code is 261QV0200X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Erin Potter (Npi Team Member)

NPI
1629022108 Verify this NPI
Provider Name
OMAHA VAMC
Other Name Type
(6)
Entity Type
Organization
Location Address
1090 W CARL SANDBURG DR STE 100 GALESBURG, IL 61401
Location Phone
(913) 578-4409
Mailing Address
PO BOX 94460 CLEVELAND, OH 44101
Mailing Phone
(913) 578-4409
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2006
Last Update Date
01-28-2025
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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

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Registered Nurse
1090 W CARL SANDBURG DR STE 100
GALESBURG, IL 61401
Registered Nurse (Ambulatory Care)
1090 W CARL SANDBURG DR STE 100
GALESBURG, IL 61401
Licensed Practical Nurse
1090 W CARL SANDBURG DR STE 100
GALESBURG, IL 61401
Registered Nurse
1090 W CARL SANDBURG DR STE 100
GALESBURG, IL 61401
Licensed Practical Nurse
1090 W CARL SANDBURG DR STE 100
GALESBURG, IL 61401
Registered Nurse
1090 W CARL SANDBURG DR STE 100
GALESBURG, IL 61401
Licensed Practical Nurse
1090 W CARL SANDBURG DR STE 100
GALESBURG, IL 61401
Licensed Practical Nurse
1090 W CARL SANDBURG DR STE 100
GALESBURG, IL 61401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629022108, enumerated as an "organization" on May 20, 2006.

The provider is located at 1090 W CARL SANDBURG DR STE 100 GALESBURG, IL 61401 and the phone number is (913) 578-4409.

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