MADISON VAMC – NPI #1174567770
Clinic/Center

MADISON VAMC is an AHC clinic located in ROCKFORD, IL. NPPES has assigned the NPI number 1174567770 to MADISON VAMC on June 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. MADISON VAMC is also known by the name ROCKFORD 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 23, 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 MADISON VAMC below.

NPI Profile for
MADISON VAMC

NPI Number
1174567770
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
MADISON VAMC
Other Name: ROCKFORD VA CBOC
Primary location
816 FEATHERSTONE RD
ROCKFORD, IL 61107-6300
Phone: (608) 821-7200 Fax: (608) 821-7658
Mailing address
PO BOX 94485
CLEVELAND, OH 44101-4485
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 23, 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.