OMAHA VAMC – NPI #1558778514
Clinic/Center

OMAHA VAMC is an AHC clinic located in CORALVILLE, IA. NPPES has assigned the NPI number 1558778514 to OMAHA VAMC on July 22, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. OMAHA VAMC is also known by the name CORALVILLE 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 Sep 25, 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 OMAHA VAMC below.

NPI Profile for
OMAHA VAMC

NPI Number
1558778514
Enumeration Date

(about 12 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
OMAHA VAMC
Other Name: CORALVILLE VA CLINIC
Primary location
2213 2ND ST
CORALVILLE, IA 52241-1205
Phone: (913) 578-4409 Fax:
Mailing address
PO BOX 94460
CLEVELAND, OH 44101-4460
Phone: (913) 578-4409 Fax:
Organization Subpart
No
Authorized Official
ERIN POTTER
NPI TEAM
Phone: (202) 382-2579
Updated
Certification Date
Sep 25, 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.