CLARKSBURG VAMC – NPI #1619342870
Clinic/Center

CLARKSBURG VAMC is an AHC clinic located in CLARKSBURG, WV. NPPES has assigned the NPI number 1619342870 to CLARKSBURG VAMC on December 14, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. CLARKSBURG VAMC is also known by the name CLARKSBURG VA MOBILE 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 Apr 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 CLARKSBURG VAMC below.

NPI Profile for
CLARKSBURG VAMC

NPI Number
1619342870
Enumeration Date

(more than 10 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
CLARKSBURG VAMC
Other Name: CLARKSBURG VA MOBILE CLINIC
Primary location
1 MED CENTER DR
CLARKSBURG, WV 26301-4155
Phone: (828) 257-2333 Fax:
Mailing address
PO BOX 94436
CLEVELAND, OH 44101-4436
Phone: (828) 257-2333 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.