BAY PINES VAMC – NPI #1710933452
Clinic/Center

BAY PINES VAMC is an AHC clinic located in CAPE CORAL, FL. NPPES has assigned the NPI number 1710933452 to BAY PINES VAMC on May 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BAY PINES VAMC is also known by the name CAPE CORAL VA CBOC. 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 Apr 27, 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 BAY PINES VAMC below.

NPI Profile for
BAY PINES VAMC

NPI Number
1710933452
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
BAY PINES VAMC
Other Name: CAPE CORAL VA CBOC
Primary location
2489 DIPLOMAT PKWY E
CAPE CORAL, FL 33909-5422
Phone: (866) 793-4591 Fax:
Mailing address
PO BOX 94465
CLEVELAND, OH 44101-4465
Phone: (866) 793-4591 Fax:
Organization Subpart
No
Authorized Official
ERIN POTTER
NPI TEAM
Phone: (202) 382-2579
Updated
Certification Date
Apr 27, 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.