MINNEAPOLIS VAMC – NPI #1740229764
Clinic/Center

MINNEAPOLIS VAMC is an AHC clinic located in SUPERIOR, WI. NPPES has assigned the NPI number 1740229764 to MINNEAPOLIS VAMC on June 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. MINNEAPOLIS VAMC is also known by the name SUPERIOR 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 8 years ago on Dec 14, 2017. 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 MINNEAPOLIS VAMC below.

NPI Profile for
MINNEAPOLIS VAMC

NPI Number
1740229764
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
MINNEAPOLIS VAMC
Other Name: SUPERIOR VA CBOC
Primary location
3520 TOWER AVE
SUPERIOR, WI 54880-5335
Phone: (913) 578-4409 Fax:
Mailing address
PO BOX 94459
CLEVELAND, OH 44101-4459
Phone: (913) 578-4409 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.