SALT LAKE CITY VAMC; NPI #1487691002

Contact Information

SALT LAKE CITY VAMC

500 S 11TH AVE
POCATELLO, ID 83201-4835

Phone: 913-578-4409
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	VA	261QV0200X

Indicates primary specialty

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NPI Profile & details for SALT LAKE CITY VAMC

NPI #	`1487691002`
LBN Legal business name	SALT LAKE CITY VAMC
Authorized official	ERIN POTTER - (NPI TEAM MEMBER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/01/2006
Last updated	03/08/2018 - About 8 years 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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