GAINESVILLE VAMC – NPI #1255506911
Clinic/Center

GAINESVILLE VAMC is an AHC clinic located in MARIANNA, FL. NPPES has assigned the NPI number 1255506911 to GAINESVILLE VAMC on April 24, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. GAINESVILLE VAMC is also known by the name MARIANNA 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 Mar 28, 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 GAINESVILLE VAMC below.

NPI Profile for
GAINESVILLE VAMC

NPI Number
1255506911
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
GAINESVILLE VAMC
Other Name: MARIANNA VA CBOC
Primary location
4970 HIGHWAY 90
MARIANNA, FL 32446-6802
Phone: (888) 263-1889 Fax:
Mailing address
PO BOX 94468
CLEVELAND, OH 44101-4468
Phone: (866) 793-4591 Fax:
Organization Subpart
No
Authorized Official
ERIN POTTER
NPI TEAM MEMBER
Phone: (202) 382-2579
Updated
Certification Date
Mar 28, 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.