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Contact Information

PRESCOTT VAMC
HIGHWAY 264
MILE POST 388
POLACCA, AZ86042-9998
 Phone: 702-341-3152
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

VA

261QV0200X
Indicates primary specialty

NPI Profile & details for PRESCOTT VAMC

NPI Number 1669857975
LBN Legal business name PRESCOTT VAMC
Authorized official ERIN POTTER - (NPI TEAM MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/28/2015
Last updated 11/01/2017 - 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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