ST. CLOUD VAMC; NPI #1124175179

Contact Information

ST. CLOUD VAMC

814 N 11TH ST
MONTEVIDEO, MN 56265-1629

Phone: 913-578-4409
Fax: 913-578-4536
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	VA	261QV0200X

Indicates primary specialty

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NPI Profile & details for ST. CLOUD VAMC

NPI #	`1124175179`
LBN Legal business name	ST. CLOUD VAMC
Authorized official	ERIN POTTER - (NPI TEAM)
Entity	Organization
Organization subpart ¹	No
Enumeration date	01/04/2007
Last updated	08/12/2024 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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