CLEVELAND VAMC – NPI #1124175153
Clinic/Center

CLEVELAND VAMC is an AHC clinic located in RAVENNA, OH. NPPES has assigned the NPI number 1124175153 to CLEVELAND VAMC on January 04, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. CLEVELAND VAMC is also known by the name RAVENNA 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 3 years ago on Feb 24, 2023. 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 CLEVELAND VAMC below.

NPI Profile for
CLEVELAND VAMC

NPI Number
1124175153
Enumeration Date

(more than 19 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
CLEVELAND VAMC
Other Name: RAVENNA VA CBOC
Primary location
6751 N CHESTNUT ST
RAVENNA, OH 44266-3903
Phone: (608) 821-7200 Fax: (608) 821-7658
Mailing address
PO BOX 94477
CLEVELAND, OH 44101-4477
Phone: (608) 821-7200 Fax: (608) 821-7658
Organization Subpart
No
Authorized Official
ERIN POTTER
NPI TEAM
Phone: (202) 382-2579
Updated
Certification Date
Feb 24, 2023

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.