MOUNTAIN HOME VAMC – NPI #1235316928
Clinic/Center

MOUNTAIN HOME VAMC is an AHC clinic located in KNOXVILLE, TN. NPPES has assigned the NPI number 1235316928 to MOUNTAIN HOME VAMC on January 25, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. MOUNTAIN HOME VAMC is also known by the name KNOXVILLE 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 Sep 07, 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 MOUNTAIN HOME VAMC below.

NPI Profile for
MOUNTAIN HOME VAMC

NPI Number
1235316928
Enumeration Date

(more than 18 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
MOUNTAIN HOME VAMC
Other Name: KNOXVILLE VA CBOC
Primary location
8033 RAY MEARS BLVD
KNOXVILLE, TN 37919-5458
Phone: (615) 355-3451 Fax:
Mailing address
PO BOX 94516
CLEVELAND, OH 44101
Phone: (615) 355-3451 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.