# PROVIDENCE VAMC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306896733
- **Authorized official:** MRS. ERIN POTTER (NPI TEAM)
- **Authorized official phone:** (202) 382-2579

## Contact information

- **Practice address:** 830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
- **Practice address phone:** (717) 277-6565
- **Mailing address:** PO BOX 94448, CLEVELAND, OH 44101-4448
- **Mailing address phone:** (717) 277-6565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 09/25/2023