LEBANON VAMC – NPI #1558558163
Clinic/Center

LEBANON VAMC is an AHC clinic located in POTTSVILLE, PA. NPPES has assigned the NPI number 1558558163 to LEBANON VAMC on September 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. LEBANON VAMC is also known by the name POTTSVILLE 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 3 years ago on Jan 05, 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 LEBANON VAMC below.

NPI Profile for
LEBANON VAMC

NPI Number
1558558163
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
LEBANON VAMC
Other Name: POTTSVILLE VA CLINIC
Primary location
700 SCHUYLKILL MANOR RD
2ND FL SUITE 6
POTTSVILLE, PA 17901-3849
Phone: (717) 277-6565 Fax:
Mailing address
PO BOX 94440
CLEVELAND, OH 44101-4440
Phone: (717) 277-6565 Fax:
Organization Subpart
No
Authorized Official
ERIN POTTER
NPI TEAM MEMBER
Phone: (202) 382-2579
Updated
Certification Date
Jan 05, 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.