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MERIDIAN VA CBOC
NPI 1669410288
Clinic/Center - VA in Meridian, MS

Active since June 04, 2006
2103 13TH ST, MERIDIAN, MS 39301(615) 355-3451 Get Directions Write a Review

NPPES record last updated: October 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Meridian Va Cboc NPPES

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

MERIDIAN VA CBOC (NPI 1669410288) is a healthcare organization registered as a va in Meridian, Mississippi and active in the NPI registry since June 2006. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1669410288
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameJACKSON VAMC
Location Address2103 13TH STMeridian, MS 39301-4045
Mailing AddressPo Box 94497Cleveland, OH 44101-4497 · (615) 355-3451
Phone(615) 355-3451
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateJune 4, 2006
Last NPPES UpdateOctober 4, 2017
✔ NPI 1669410288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
2103 13TH ST, Meridian, MS 39301
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Other Names 1

Other NameMeridian Va Cboc

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.

DR. DEBORAH JEAN SCHULTZ MD
Internal Medicine
2103 13TH ST
MERIDIAN, MS 39301
Lauderdale County (601) 482-3275
MRS. DERITHA MARBORY BARBER LMSW
Social Worker
2103 13TH ST
MERIDIAN, MS 39301
Lauderdale County (601) 482-3275
GAYLE HAMILTON CFNP
Nurse Practitioner (Family)
2103 13TH ST
MERIDIAN, MS 39301
Lauderdale County (601) 482-3275
KATHRYN LEE FLEMING RN,BSN,NP-C
Nurse Practitioner (Family)
2103 13TH ST
MERIDIAN, MS 39301
Lauderdale County (601) 482-3275
ROBBI LEA BROADHEAD R.N.
Registered Nurse (Administrator)
2103 13TH ST
MERIDIAN, MS 39301
Lauderdale County (601) 482-3275

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 Jackson Vamc's NPI number?

The NPI number for Jackson Vamc is 1669410288. It was assigned to this organization in the NPPES registry on June 4, 2006. The provider is also known as Meridian VA Cboc.

Where is Jackson Vamc located?

Jackson Vamc is located at 2103 13th St, Meridian, MS 39301. The listed phone number is (615) 355-3451.

What is Jackson 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 Jackson Vamc was last updated on October 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.