KOSCIUSKO VA CLINIC
NPI 1841232097
Clinic/Center - VA in Kosciusko, MS

Q: What is Jackson Vamc's NPI number?

The NPI number for Jackson Vamc is 1841232097. It was assigned to this organization in the NPPES registry on June 12, 2006. The provider is also known as Kosciusko VA Clinic.

Q: What is Jackson 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 Jackson Vamc was last updated on October 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 June 12, 2006

405 W ADAMS ST, KOSCIUSKO, MS 39090(615) 355-3451 Get Directions Write a Review

NPPES record last updated: October 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kosciusko Va Clinic NPPES

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

KOSCIUSKO VA CLINIC (NPI 1841232097) is a healthcare organization registered as a va in Kosciusko, Mississippi and active in the NPI registry since June 2006. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1841232097

Entity TypeOrganization

Primary Taxonomy261QV0200X

Legal Business NameJACKSON VAMC

Location Address405 W ADAMS STKosciusko, MS 39090-3617

Mailing AddressPo Box 94497Cleveland, OH 44101-4497 · (615) 355-3451

Phone(615) 355-3451

Organization SubpartNo

Authorized OfficialErin PotterNpi Team Member · (202) 382-2579

Enumeration DateJune 12, 2006

Last NPPES UpdateOctober 4, 2017

✔ NPI 1841232097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities

Taxonomy Code261QV0200X

405 W ADAMS ST, Kosciusko, MS 39090

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Other Names 1

Other NameKosciusko Va Clinic

Other Providers at the Same Location NPPES 2

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

MICHELLE ANN HAMMOND MLT

Technician, Other

405 W ADAMS ST
KOSCIUSKO, MS 39090

Attala County (662) 289-2880

DR. AMANDA HILL DNP, NP-C

Nurse Practitioner (Primary Care)

405 W ADAMS ST
KOSCIUSKO, MS 39090

Attala County (662) 289-2880

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 Jackson Vamc's NPI number?

The NPI number for Jackson Vamc is 1841232097. It was assigned to this organization in the NPPES registry on June 12, 2006. The provider is also known as Kosciusko VA Clinic.

Where is Jackson Vamc located?

Jackson Vamc is located at 405 W Adams St, Kosciusko, MS 39090. The listed phone number is (615) 355-3451.

What is Jackson 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 Jackson Vamc was last updated on October 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.