BECKLEY VAMC – NPI #1063885754
Clinic/Center

BECKLEY VAMC is an AHC clinic located in BECKLEY, WV. NPPES has assigned the NPI number 1063885754 to BECKLEY VAMC on November 04, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BECKLEY VAMC is also known by the name BECKLEY VA MOBILE 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 4 years ago on Jan 18, 2022. 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 BECKLEY VAMC below.

NPI Profile for
BECKLEY VAMC

NPI Number
1063885754
Enumeration Date

(more than 10 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
BECKLEY VAMC
Other Name: BECKLEY VA MOBILE CLINIC
Primary location
200 VETERANS AVE
BECKLEY, WV 25801-6444
Phone: (828) 257-2333 Fax:
Mailing address
PO BOX 89428
CLEVELAND, OH 44101-6428
Phone: (828) 257-2333 Fax:
Organization Subpart
No
Authorized Official
ERIN POTTER
NPI TEAM MEMBER
Phone: (202) 382-2579
Updated
Certification Date
Jan 18, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.