ALBUQUERQUE VAMC – NPI #1053353102
Clinic/Center

ALBUQUERQUE VAMC is an AHC clinic located in LAS VEGAS, NM. NPPES has assigned the NPI number 1053353102 to ALBUQUERQUE VAMC on June 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. ALBUQUERQUE VAMC is also known by the name LAS VEGAS VA CBOC. 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 9 years ago on Oct 31, 2017. 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 ALBUQUERQUE VAMC below.

NPI Profile for
ALBUQUERQUE VAMC

NPI Number
1053353102
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
ALBUQUERQUE VAMC
Other Name: LAS VEGAS VA CBOC
Primary location
624 UNIVERSITY AVE
LAS VEGAS, NM 87701-4278
Phone: (702) 341-3152 Fax:
Mailing address
PO BOX 89495
CLEVELAND, OH 44101-6495
Phone: (702) 341-3152 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.