# MONTANA VAMC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MILES CITY CLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053728014
- **Authorized official:** ERIN POTTER (NPI TEAM MEMBER)
- **Authorized official phone:** (202) 382-2579

## Contact information

- **Practice address:** 210 SOUTH WINCHESTER, MILES CITY, MT 59301-4757
- **Practice address phone:** (913) 578-4409
- **Mailing address:** PO BOX 94451, CLEVELAND, OH 44101-4451
- **Mailing address phone:** (913) 578-4409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 07/22/2014
- **Last updated:** 10/03/2019