BLOOMINGTON 1 VA CLINIC
NPI 1790173078
Clinic/Center - VA in Bloomington, IN

Active since January 08, 2015
1332 ARCH HAVEN AVENUE, BLOOMINGTON, IN 47403(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: July 26, 2026.

Record update history: Feb 24, 2023, Oct 5, 2022, Oct 25, 2016 (3 updates tracked since 2016).

About Bloomington 1 Va Clinic NPPES

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

BLOOMINGTON 1 VA CLINIC (NPI 1790173078) is a healthcare organization registered as a va in Bloomington, Indiana and active in the NPI registry since January 2015. The organization lists Erin Potter, Npi Team, as its authorized official.

NPPES Registry Identity

NPI1790173078
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameINDIANAPOLIS VAMC
Location Address1332 ARCH HAVEN AVENUEBloomington, IN 47403-2079
Mailing AddressPo Box 94483Cleveland, OH 44101-4483 · (608) 821-7200 · Fax (608) 821-7658
Fax(608) 821-7658
Organization SubpartNo
Authorized OfficialErin PotterNpi Team · (202) 382-2579
Enumeration DateJanuary 8, 2015
Last NPPES UpdateFebruary 24, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2023
NPI 1790173078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
1332 ARCH HAVEN AVENUE, Bloomington, IN 47403

Other Names 1

Other NameBloomington 1 Va Clinic

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 Indianapolis Vamc's NPI number?

The NPI number for Indianapolis Vamc is 1790173078. It was assigned to this organization in the NPPES registry on January 8, 2015. The provider is also known as Bloomington 1 VA Clinic.

Where is Indianapolis Vamc located?

Indianapolis Vamc is located at 1332 Arch Haven Avenue, Bloomington, IN 47403. The listed phone number is (608) 821-7200.

What is Indianapolis 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 Indianapolis Vamc was last updated on February 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.