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BEAVER DAM VA CBOC
NPI 1992758254
Clinic/Center - VA in Beaver Dam, WI

Active since May 18, 2006
215 CORPORATE DR, SUITE B, BEAVER DAM, WI 53916(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: August 09, 2026.

Record update history: Feb 23, 2023, Oct 20, 2022 (2 updates tracked since 2022).

About Beaver Dam Va Cboc NPPES

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

BEAVER DAM VA CBOC (NPI 1992758254) is a healthcare organization registered as a va in Beaver Dam, Wisconsin and active in the NPI registry since May 2006. The organization lists Erin Potter, Npi Team, as its authorized official.

NPPES Registry Identity

NPI1992758254
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameMADISON VAMC
Location Address215 CORPORATE DR, SUITE BBeaver Dam, WI 53916-3123
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 18, 2006
Last NPPES UpdateFebruary 23, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
✔ NPI 1992758254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
215 CORPORATE DR, Beaver Dam, WI 53916
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Other Names 1

Other NameBeaver Dam Va Cboc

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.

AYAZ SAMANDANI MD SC
Family Medicine
215 CORPORATE DR, SUITE H
BEAVER DAM, WI 53916
Dodge County (920) 887-7731
AYAZ M. SAMADANI, MD, SC
Clinic/Center
215 CORPORATE DR, SUITE H
BEAVER DAM, WI 53916
Dodge County (920) 887-7731
MARSHA GAIL CANNON RN
Registered Nurse (Ambulatory Care)
215 CORPORATE DR, SUITE B
BEAVER DAM, WI 53916
Dodge County (920) 356-9415
AYAZ M SAMADANI MD
General Practice
215 CORPORATE DR, SUITE H
BEAVER DAM, WI 53916
Dodge County (920) 887-7731
DR. THOMAS J KALINOSKY DO
Family Medicine
215 CORPORATE DR, SUITE G
BEAVER DAM, WI 53916
Dodge County (920) 887-7692
THOMAS J KALINOSKY DO
Family Medicine
215 CORPORATE DR, SUITE G
BEAVER DAM, WI 53916
Dodge County (920) 887-7692

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 1992758254. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is also known as Beaver Dam VA Cboc.

Where is Madison Vamc located?

Madison Vamc is located at 215 Corporate Dr Suite B, Beaver Dam, WI 53916. 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.

When was this NPI record last updated?

The NPPES record for Madison 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.