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MONTGOMERY VAMC
NPI 1790015402
Clinic/Center - VA in Fort Rucker, AL

Active since December 31, 2009
301 ANDREWS AVE, FORT RUCKER, AL 36362(828) 257-3777(828) 257-2399 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2025, Apr 12, 2018 (2 updates tracked since 2018).

About Montgomery Vamc NPPES

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

MONTGOMERY VAMC (NPI 1790015402) is a healthcare organization registered as a va in Fort Rucker, Alabama and active in the NPI registry since December 2009. The organization lists Erin Potter, Npi Team, as its authorized official.

NPPES Registry Identity

NPI1790015402
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameMONTGOMERY VAMC
Location Address301 ANDREWS AVEFort Rucker, AL 36362-9998
Mailing AddressPo Box 89470Cleveland, OH 44101-6470 · (828) 257-2333 · Fax (828) 257-2399
Phone(828) 257-3777
Fax(828) 257-2399
Organization SubpartNo
Authorized OfficialErin PotterNpi Team · (202) 382-2579
Enumeration DateDecember 31, 2009
Last NPPES UpdateNovember 20, 20252 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1790015402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
301 ANDREWS AVE, Fort Rucker, AL 36362
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Other Names 2

Other NameFort Novosel Va Clinic
Other NameFort Rucker Va Clinic

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.

MR. VIRGIL THOMAS SPEECE APA-C
Physician Assistant
301 ANDREWS AVE
FT RUCKER, AL 36362
Dale County (334) 255-7387
VICTOR CLEMENTS
Nurse's Aide
301 ANDREWS AVE, LAHC
FORT RUCKER, AL 36362
Dale County (334) 255-7118
DR. JOSEPH JOHN PAVELITES I MD
Preventive Medicine (Aerospace Medicine)
301 ANDREWS AVE, LYSTER ARMY MEDICAL CENTER
FORT RUCKER, AL 36362
Dale County (334) 255-7000
DR. JUSTIN CHIHYAN PAO O.D.
Optometrist
301 ANDREWS AVE
FORT RUCKER, AL 36362
Dale County (800) 261-7193
MATTHEW DAVID CHAPPELL PA
Physician Assistant
301 ANDREWS AVE
FT. RUCKER, AL 36362
Dale County (334) 255-3853
SHANICE COLEMAN MEDICAL ASSISTANT
Technician
301 ANDREWS AVE
FT. RUCKER, AL 36362
Dale County (333) 255-7755
MRS. MARISSA B WILLIAMS RN
Registered Nurse (Ambulatory Care)
301 ANDREWS AVE
FORT RUCKER, AL 36362
Dale County (334) 255-7574
JUSTIN TETREAULT RN
Registered Nurse
301 ANDREWS AVE, LYSTER ARMY HEALTH CLININC
FORT RUCKER, AL 36362
Dale County (334) 255-7341

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 Montgomery Vamc's NPI number?

The NPI number for Montgomery Vamc is 1790015402. It was assigned to this organization in the NPPES registry on December 31, 2009. The provider is also known as Fort Novosel VA Clinic and Fort Rucker VA Clinic.

Where is Montgomery Vamc located?

Montgomery Vamc is located at 301 Andrews Ave, Fort Rucker, AL 36362. The listed phone number is (828) 257-3777.

What is Montgomery 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 Montgomery Vamc was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.