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IRONWOOD VA CBOC
NPI 1720028319
Clinic/Center - VA in Ironwood, MI

Active since June 08, 2006
629 W CLOVERLAND DR, SUITE 1, IRONWOOD, MI 49938(608) 821-7200(608) 821-7658 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Feb 23, 2023, Oct 20, 2022, Nov 5, 2018 (3 updates tracked since 2018).

About Ironwood Va Cboc NPPES

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

IRONWOOD VA CBOC (NPI 1720028319) is a healthcare organization registered as a va in Ironwood, Michigan and active in the NPI registry since June 2006. The organization lists Erin Potter, Npi Team, as its authorized official.

NPPES Registry Identity

NPI1720028319
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameIRON MOUNTAIN VAMC
Location Address629 W CLOVERLAND DR, SUITE 1Ironwood, MI 49938-1006
Mailing AddressPo Box 94484Cleveland, OH 44101-4484 · (608) 821-7200 · Fax (608) 821-7658
Phone(608) 821-7200
Fax(608) 821-7658
Organization SubpartNo
Authorized OfficialErin PotterNpi Team · (202) 382-2579
Enumeration DateJune 8, 2006
Last NPPES UpdateFebruary 23, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
✔ NPI 1720028319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
629 W CLOVERLAND DR, Ironwood, MI 49938
Open in Google Maps ↗

Other Names 1

Other NameIronwood Va Cboc

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 23D1018226

Ironwood Cboc · Ironwood, MI
Expired · Sep 30, 2026
CLIA Number23D1018226
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 16, 2003
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorThomas Brucker
Laboratory Phone(906) 932-0032
Laboratory LocationIronwood Cboc629 W Cloverland Dr, Ironwood, MI 49938
CLIA data matches this NPI record on: Address
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 4

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

LEE SAIPPA
Licensed Practical Nurse
629 W CLOVERLAND DR
IRONWOOD, MI 49938
Gogebic County (800) 215-8262
HEATHER H TIRPE NP
Nurse Practitioner
629 W CLOVERLAND DR
IRONWOOD, MI 49938
Gogebic County (906) 932-0032
DR. KEVIN ALDEN KUMMEROW M.D.
Family Medicine
629 W CLOVERLAND DR
IRONWOOD, MI 49938
Gogebic County (906) 932-0032
MR. KIRT ERIC CARTER
Social Worker (Clinical)
629 W CLOVERLAND DR, SUITE 1
IRONWOOD, MI 49938
Gogebic County (906) 932-0032

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 Iron Mountain Vamc's NPI number?

The NPI number for Iron Mountain Vamc is 1720028319. It was assigned to this organization in the NPPES registry on June 8, 2006. The provider is also known as Ironwood VA Cboc.

Where is Iron Mountain Vamc located?

Iron Mountain Vamc is located at 629 W Cloverland Dr Suite 1, Ironwood, MI 49938. The listed phone number is (608) 821-7200.

What is Iron Mountain 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 Iron Mountain Vamc was last updated on February 23, 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.