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MATTOON VA CLINIC
NPI 1861725699
Clinic/Center - VA in Mattoon, IL

Active since September 11, 2009
501 LAKE LAND BLVD, MATTOON, IL 61938(608) 821-7200(608) 821-7658 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 22, 2023, Oct 20, 2022, Jul 17, 2018 (3 updates tracked since 2018).

About Mattoon Va Clinic NPPES

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

MATTOON VA CLINIC (NPI 1861725699) is a healthcare organization registered as a va in Mattoon, Illinois and active in the NPI registry since September 2009. The organization lists Erin Potter, Npi Team, as its authorized official.

NPPES Registry Identity

NPI1861725699
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameDANVILLE VAMC
Location Address501 LAKE LAND BLVDMattoon, IL 61938
Mailing AddressPo Box 94478Cleveland, OH 44101-4478 · (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 DateSeptember 11, 2009
Last NPPES UpdateFebruary 22, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
✔ NPI 1861725699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
501 LAKE LAND BLVD, Mattoon, IL 61938
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Other Names 1

Other NameMattoon Va Clinic

Other Providers at the Same Location NPPES 6

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

HALEY HASBARGEN
Social Worker
501 LAKE LAND BLVD
MATTOON, IL 61938
Coles County (217) 258-3370
TONYA SUE WHITE NP-C
Nurse Practitioner
501 LAKE LAND BLVD
MATTOON, IL 61938
Coles County (217) 258-3370
ANDREA KAY BRETTIN MS, RDN, LDN
Dietitian, Registered
501 LAKE LAND BLVD
MATTOON, IL 61938
Coles County (217) 554-3000
ELLEN C HOMANN M.S, R.D., L.D.N
Dietitian, Registered
501 LAKE LAND BLVD, SUITE D
MATTOON, IL 61938
Coles County (217) 258-3370
JANIS L WOLF LCSW
Social Worker (Clinical)
501 LAKE LAND BLVD
MATTOON, IL 61938
Coles County (217) 258-3370
MR. JAMES KEVIN GILLIGAN JR. RD, LD
Dietitian, Registered
501 LAKE LAND BLVD
MATTOON, IL 61938
Coles County (217) 258-3370

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 Danville Vamc's NPI number?

The NPI number for Danville Vamc is 1861725699. It was assigned to this organization in the NPPES registry on September 11, 2009. The provider is also known as Mattoon VA Clinic.

Where is Danville Vamc located?

Danville Vamc is located at 501 Lake Land Blvd, Mattoon, IL 61938. The listed phone number is (608) 821-7200.

What is Danville 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 Danville Vamc was last updated on February 22, 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.