DETROIT VAMC – NPI #1609815034
Clinic/Center

DETROIT VAMC is an AHC clinic located in PONTIAC, MI. NPPES has assigned the NPI number 1609815034 to DETROIT VAMC on June 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. DETROIT VAMC is also known by the name PONTIAC 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 2 years ago on Jan 30, 2024. 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 DETROIT VAMC below.

NPI Profile for
DETROIT VAMC

NPI Number
1609815034
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
DETROIT VAMC
Other Name: PONTIAC VA CLINIC
Primary location
44200 WOODWARD AVE STE 212
PONTIAC, MI 48341-5045
Phone: (608) 821-7200 Fax: (608) 821-7658
Mailing address
PO BOX 94480
CLEVELAND, OH 44101-4480
Phone: (608) 821-7200 Fax: (608) 821-7658
Organization Subpart
No
Authorized Official
ERIN POTTER
NPI TEAM
Phone: (202) 382-2579
Updated
Certification Date
Jan 30, 2024

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.