PHOENIX VAMC – NPI #1215974696
Clinic/Center

PHOENIX VAMC is an AHC clinic located in PAYSON, AZ. NPPES has assigned the NPI number 1215974696 to PHOENIX VAMC on June 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. PHOENIX VAMC is also known by the name PAYSON 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 Nov 01, 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 PHOENIX VAMC below.

NPI Profile for
PHOENIX VAMC

NPI Number
1215974696
Enumeration Date

(more than 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
PHOENIX VAMC
Other Name: PAYSON VA CBOC
Primary location
903 E HIGHWAY 260
SUITE 2
PAYSON, AZ 85531-4972
Phone: (702) 341-3152 Fax:
Mailing address
PO BOX 94413
CLEVELAND, OH 44101-4413
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.