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DEPARTMENT OF VETERANS AFFAIRS OUTPATIENT CLINIC

VA

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Contact Information

DEPARTMENT OF VETERANS AFFAIRS OUTPATIENT CLINIC
1015 S HACKETT RD
WATERLOO, IA  
 Phone: 319-235-1230
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

VA

 261QV0200X
Indicates primary specialty

NPI Profile & details for DEPARTMENT OF VETERANS AFFAIRS OUTPATIENT CLINIC

NPI Number 1851425276
LBN Legal business name DEPARTMENT OF VETERANS AFFAIRS OUTPATIENT CLINIC
Authorized official JULIE TULLIS - (L.P.N.)
Entity Organization
Organization subpart 1 No
Enumeration date 03/15/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
IA License # 261QV0200X
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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