FAYETTEVILLE VAMC – NPI #1043253156
Clinic/Center

FAYETTEVILLE VAMC is an AHC clinic located in WILMINGTON, NC. NPPES has assigned the NPI number 1043253156 to FAYETTEVILLE VAMC on June 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. FAYETTEVILLE VAMC is also known by the name WILMINGTON VA CLINIC. The primary taxonomy selected by this provider is 261QV0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in VA

The NPI profile was previously updated about 8 years ago on Apr 11, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAYETTEVILLE VAMC below.

NPI Profile for
FAYETTEVILLE VAMC

NPI Number
1043253156
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAYETTEVILLE VAMC
Other Name: WILMINGTON VA CLINIC
Primary location
1705 GARDNER ROAD
WILMINGTON, NC 28405-8873
Phone: (828) 257-3777 Fax:
Mailing address
PO BOX 89494
CLEVELAND, OH 44101-6494
Phone: (828) 257-2333 Fax:
Organization Subpart
No
Authorized Official
ERIN POTTER
NPI TEAM MEMBER
Phone: (202) 382-2579
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QV0200X
- Clinic/Center / VA (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.