FAYETTEVILLE VAMC; NPI #1699492611

Contact Information

FAYETTEVILLE VAMC

1055 JABARA AVE BLDG 2803
GOLDSBORO, NC 27531-2311

Phone: 828-257-2333
Fax: 828-257-2399
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	VA	261QV0200X

Indicates primary specialty

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NPI Profile & details for FAYETTEVILLE VAMC

NPI #	`1699492611`
LBN Legal business name	FAYETTEVILLE VAMC
Authorized official	ERIN POTTER - (NPI TEAM LEAD)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/20/2022
Last updated	10/20/2022 - About 4 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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