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BARABOO VA CLINIC
NPI 1972554913
Clinic/Center - VA in Baraboo, WI

Active since May 15, 2006CLIA 52D1016785 · Accreditation
414 STATE RD 136, BARABOO, WI 53913(608) 821-7200(608) 821-7658 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 15, 2024, Feb 23, 2023, Oct 20, 2022 (3 updates tracked since 2022).

About Baraboo Va Clinic NPPES

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

BARABOO VA CLINIC (NPI 1972554913) is a healthcare organization registered as a va in Baraboo, Wisconsin and active in the NPI registry since May 2006. The organization holds an CLIA Accreditation certificate valid through September 30, 2026 and lists Erin Potter, Npi Team, as its authorized official.

NPPES Registry Identity

NPI1972554913
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameMADISON VAMC
Location Address414 STATE RD 136Baraboo, WI 53913-9998
Mailing AddressPo Box 94485Cleveland, OH 44101-4485 · (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 DateMay 15, 2006
Last NPPES UpdateAugust 15, 20243 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1972554913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
414 STATE RD 136, Baraboo, WI 53913
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Other Names 1

Other NameBaraboo 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 52D1016785

Baraboo VA Cboc · Baraboo, WI
Active · expires Sep 30, 2026
CLIA Number52D1016785
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 8, 2003
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorThomas Raj
Laboratory Phone(608) 256-1901
Laboratory LocationBaraboo VA Cboc414 State Road 136, Baraboo, WI 53913
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.

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 Madison Vamc's NPI number?

The NPI number for Madison Vamc is 1972554913. It was assigned to this organization in the NPPES registry on May 15, 2006. The provider is also known as Baraboo VA Clinic.

Where is Madison Vamc located?

Madison Vamc is located at 414 State Rd 136, Baraboo, WI 53913. The listed phone number is (608) 821-7200.

What is Madison Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

Does Madison Vamc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 52D1016785) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Madison Vamc was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.