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Contact Information

FAYETTEVILLE VAMC
5571 N GRETNA RD
BRANSON, MO65616-7287
 Phone: 615-355-3451
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

VA

261QV0200X
Indicates primary specialty

NPI Profile & details for FAYETTEVILLE VAMC

NPI # 1609024058
LBN Legal business name FAYETTEVILLE VAMC
Authorized official ERIN POTTER - (NPI TEAM MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/28/2008
Last updated 09/26/2017 - About 9 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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