SUPERIOR VA CBOC
NPI 1740229764
Clinic/Center - VA in Superior, WI
Active since June 05, 2006
About Superior Va Cboc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUPERIOR VA CBOC (NPI 1740229764) is a healthcare organization registered as a va in Superior, Wisconsin and active in the NPI registry since June 2006. The organization lists Erin Potter, Npi Team Member, as its authorized official.
NPPES Registry Identity
NPI1740229764
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameMINNEAPOLIS VAMC
Location Address3520 TOWER AVESuperior, WI 54880-5335
Mailing AddressPo Box 94459Cleveland, OH 44101-4459 · (913) 578-4409
Phone(913) 578-4409
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateJune 5, 2006
Last NPPES UpdateDecember 14, 2017
✔ NPI 1740229764 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
3520 TOWER AVE, Superior, WI 54880
Other Names 1
Other NameSuperior Va Cboc
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Social Worker (Clinical)
3520 TOWER AVE, TWIN PORTS VA OUTPATIENT CLINIC
SUPERIOR, WI 54880
SUPERIOR, WI 54880
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
3520 TOWER AVE
SUPERIOR, WI 54880
SUPERIOR, WI 54880
Internal Medicine
3520 TOWER AVE, TWIN PORTS VA CLINIC
SUPERIOR, WI 54880
SUPERIOR, WI 54880
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740229764, enumerated as an "organization" on June 05, 2006.
The provider is located at 3520 TOWER AVE SUPERIOR, WI 54880 and the phone number is (913) 578-4409.
Clinic/Center with taxonomy code 261QV0200X and a focus in VA.
