SALT LAKE CITY VAMC – NPI #1407894868
Clinic/Center

SALT LAKE CITY VAMC is an AHC clinic located in SOUTH OGDEN, UT. NPPES has assigned the NPI number 1407894868 to SALT LAKE CITY VAMC on June 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. SALT LAKE CITY VAMC is also known by the name SOUTH OGDEN VA CLINIC. 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 8 years ago on Jan 17, 2018. 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 SALT LAKE CITY VAMC below.

NPI Profile for
SALT LAKE CITY VAMC

NPI Number
1407894868
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
SALT LAKE CITY VAMC
Other Name: SOUTH OGDEN VA CLINIC
Primary location
982 CHAMBERS ST
SOUTH OGDEN, UT 84403-4571
Phone: (913) 578-4409 Fax:
Mailing address
PO BOX 94463
CLEVELAND, OH 44101-4463
Phone: (913) 578-4409 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.