WISCONSIN RAPIDS VA CLINIC
NPI 1881634616
Clinic/Center - VA in Wisconsin Rapids, WI

Q: What is Tomah Vamc's NPI number?

The NPI number for Tomah Vamc is 1881634616. It was assigned to this organization in the NPPES registry on June 8, 2006. The provider is also known as Wisconsin Rapids VA Clinic.

Q: What is Tomah 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 Tomah Vamc was last updated on February 23, 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 June 08, 2006CLIA 52D2005047 · Accreditation

700 HALE ST, WISCONSIN RAPIDS, WI 54495(608) 821-7200(608) 821-7658 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Feb 23, 2023, Oct 20, 2022, Jul 1, 2020 and 1 more (4 updates tracked since 2020).

On this page

About Wisconsin Rapids Va Clinic NPPES

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

WISCONSIN RAPIDS VA CLINIC (NPI 1881634616) is a healthcare organization registered as a va in Wisconsin Rapids, Wisconsin and active in the NPI registry since June 2006. The organization holds an CLIA Accreditation certificate valid through September 30, 2026 and lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1881634616

Entity TypeOrganization

Primary Taxonomy261QV0200X

Legal Business NameTOMAH VAMC

Location Address700 HALE STWisconsin Rapids, WI 54495-2787

Mailing AddressPo Box 94488Cleveland, OH 44101-4488 · (608) 821-7200 · Fax (608) 821-7658

Phone(608) 821-7200

Fax(608) 821-7658

Organization SubpartNo

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

Enumeration DateJune 8, 2006

Last NPPES UpdateFebruary 23, 20234 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2023

✔ NPI 1881634616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities

Taxonomy Code261QV0200X

700 HALE ST, Wisconsin Rapids, WI 54495

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Other Names 1

Other NameWisconsin Rapids Va Clinic

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 52D2005047

Wisconsin Rapids VA Outpatient Clinic · Wisconsin Rapids, WI

Active · expires Sep 30, 2026

CLIA Number52D2005047

Laboratory TypeCommunity Clinic

Certificate Effective DateMarch 18, 2010

Certificate Expiration DateSeptember 30, 2026

Laboratory DirectorThomas Raj

Laboratory Phone(715) 424-4682

Laboratory LocationWisconsin Rapids VA Outpatient Clinic700 Hale Street, Wisconsin Rapids, WI 54495

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 19

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

BRIE ANN MEDDAUGH RN

Registered Nurse (Ambulatory Care)