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MANKATO VA CLINIC
NPI 1639615149
Clinic/Center - VA in Mankato, MN

Active since January 09, 2017
1400 MADISON AVE STE 502, MANKATO, MN 56001(913) 578-4409 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2022, Dec 14, 2017, Jan 9, 2017 (3 updates tracked since 2017).

About Mankato Va Clinic NPPES

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

MANKATO VA CLINIC (NPI 1639615149) is a healthcare organization registered as a va in Mankato, Minnesota and active in the NPI registry since January 2017. The organization lists Erin Potter, Npi Team, as its authorized official.

NPPES Registry Identity

NPI1639615149
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameMINNEAPOLIS VAMC
Location Address1400 MADISON AVE STE 502Mankato, MN 56001-5473
Mailing AddressPo Box 94459Cleveland, OH 44101-4459 · (913) 578-4409
Phone(913) 578-4409
Organization SubpartNo
Authorized OfficialErin PotterNpi Team · (202) 382-2579
Enumeration DateJanuary 9, 2017
Last NPPES UpdateDecember 22, 20223 updates tracked since enumeration
NPPES CertifiedDecember 22, 2022
✔ NPI 1639615149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
1400 MADISON AVE STE 502, Mankato, MN 56001
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Other Names 1

Other NameMankato Va Clinic

Other Providers at the Same Location NPPES 5

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

CHRISTELLE GRAHAM HORGLI LICSW
Social Worker (Clinical)
1400 MADISON AVE STE 502
MANKATO, MN 56001
Blue Earth County (507) 387-2939
TRACY LYN SHEELY BASBALLE LPN
Licensed Practical Nurse
1400 MADISON AVE STE 502
MANKATO, MN 56001
Blue Earth County (507) 387-2939
DANIELLE MARIE PETERSEN RN
Registered Nurse (Ambulatory Care)
1400 MADISON AVE STE 502
MANKATO, MN 56001
Blue Earth County (507) 387-2939
AMANDA MARIE WOLSKE LPN
Licensed Practical Nurse
1400 MADISON AVE STE 502
MANKATO, MN 56001
Blue Earth County (507) 387-2939
KAYLEE FLATOFF REGISTERED DIETITIAN
Dietitian, Registered
1400 MADISON AVE STE 502
MANKATO, MN 56001
Blue Earth County (507) 387-2939

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 Minneapolis Vamc's NPI number?

The NPI number for Minneapolis Vamc is 1639615149. It was assigned to this organization in the NPPES registry on January 9, 2017. The provider is also known as Mankato VA Clinic.

Where is Minneapolis Vamc located?

Minneapolis Vamc is located at 1400 Madison Ave Ste 502, Mankato, MN 56001. The listed phone number is (913) 578-4409.

What is Minneapolis Vamc's specialty?

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

When was this NPI record last updated?

The NPPES record for Minneapolis Vamc was last updated on December 22, 2022. 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.