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MOUNTAIN HOME VAMC
NPI 1982236907
Clinic/Center - VA in Johnson City, TN

Active since February 07, 2020
500 WASHINGTON AVE, JOHNSON CITY, TN 37604(615) 355-3451 Get Directions Write a Review

NPPES record last updated: February 7, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • VA

About MOUNTAIN HOME VAMC

This page provides the complete NPI Profile along with additional information for Mountain Home Vamc, a provider established in Johnson City, Tennessee operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1982236907 assigned on February 2020. The practitioner's primary taxonomy code is 261QV0200X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Erin Denise Potter (Npi Lead)

NPI
1982236907 Verify this NPI
Provider Name
MOUNTAIN HOME VAMC
Entity Type
Organization
Location Address
500 WASHINGTON AVE JOHNSON CITY, TN 37604
Location Phone
(615) 355-3451
Mailing Address
PO BOX 94516 CLEVELAND, OH 44101
Mailing Phone
(615) 355-3451
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-07-2020
Last Update Date
02-07-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center VA

Taxonomy Code
261QV0200X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ERIN DENISE POTTER

Authorized Official Title
NPI LEAD
Authorized Official Phone
(202) 382-2579

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Frequently Asked Questions

What is MOUNTAIN HOME VAMC's NPI number?

The NPI number assigned to this healthcare provider is 1982236907, enumerated as an "organization" on February 07, 2020.

Where is the provider located?

The provider is located at 500 WASHINGTON AVE JOHNSON CITY, TN 37604 and the phone number is (615) 355-3451.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QV0200X and a focus in VA.