# JAMES A LOVELL FEDERAL HEALTH CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kenosha VA CBOC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144276064
- **Authorized official:** ERIN POTTER (NPI TEAM)
- **Authorized official phone:** (202) 382-2579

## Contact information

- **Practice address:** 8207 22ND AVE, KENOSHA, WI 53143-6211
- **Practice address phone:** (608) 821-7200
- **Practice address fax:** (608) 821-7658
- **Mailing address:** PO BOX 94481, CLEVELAND, OH 44101-4481
- **Mailing address phone:** (608) 821-7200
- **Mailing address fax:** (608) 821-7658

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QV0200X | VA Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 02/23/2023