GRAYLING VA CBOC
NPI 1780931733
Clinic/Center - VA in Grayling, MI

Q: What is Saginaw Vamc's NPI number?

The NPI number for Saginaw Vamc is 1780931733. It was assigned to this organization in the NPPES registry on August 9, 2012. The provider is also known as Grayling VA Cboc.

Q: What is Saginaw Vamc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Saginaw Vamc was last updated on February 24, 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.

Active since August 09, 2012

1680 HARTWICK PINES RD, GRAYLING, MI 49738(608) 821-7200(608) 821-7658 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Feb 24, 2023, Oct 18, 2022 (2 updates tracked since 2022).

On this page

About Grayling Va Cboc NPPES

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

GRAYLING VA CBOC (NPI 1780931733) is a healthcare organization registered as a va in Grayling, Michigan and active in the NPI registry since August 2012. The organization lists Erin Potter, Npi Team, as its authorized official.

NPPES Registry Identity

NPI1780931733

Entity TypeOrganization

Primary Taxonomy261QV0200X

Legal Business NameSAGINAW VAMC

Location Address1680 HARTWICK PINES RDGrayling, MI 49738-9237

Mailing AddressPo Box 94487Cleveland, OH 44101-4487 · (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 DateAugust 9, 2012

Last NPPES UpdateFebruary 24, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2023

✔ NPI 1780931733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities

Taxonomy Code261QV0200X

1680 HARTWICK PINES RD, Grayling, MI 49738

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Other Names 1

Other NameGrayling 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 23D2047074

Grayling VA Outpatient Clinic · Grayling, MI

Expired · Sep 30, 2026

CLIA Number23D2047074

Laboratory TypeCommunity Clinic

Certificate Effective DateSeptember 18, 2012

Certificate Expiration DateSeptember 30, 2026

Laboratory DirectorYaseen Mohiuddin

Laboratory Phone(989) 321-4520

Laboratory LocationGrayling VA Outpatient Clinic1680 Hartwick Pines Road, Grayling, MI 49738

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 5

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

REBECCA L PORTA LCSW

Social Worker (Clinical)