# DEPT OF VETERAN AFFAIRS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VA Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326395286
- **Authorized official:** ROBERT LEE SMITH (SOCIAL WORKER)
- **Authorized official phone:** (304) 263-0811

## Contact information

- **Practice address:** 510 BUTLER AVE, MARTINSBURG, WV 25405-9990
- **Practice address phone:** (304) 263-0811
- **Mailing address:** 510 BUTLER AVE, MARTINSBURG, WV 25405-9990
- **Mailing address phone:** (304) 263-0811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | BP00941695 | WV | Yes |

## Other

- **Enumeration date:** 08/10/2012
- **Last updated:** 08/10/2012
