# OMAHA VAMC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PAPILLION VA CLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417694290
- **Authorized official:** ERIN DENISE POTTER (TEAM LEAD)
- **Authorized official phone:** (202) 382-2579

## Contact information

- **Practice address:** 11111 S 84TH ST STE 5000, PAPILLION, NE 68046-4122
- **Practice address phone:** (913) 578-4409
- **Mailing address:** PO BOX 94460, CLEVELAND, OH 44101-4460
- **Mailing address phone:** (913) 578-4409

## Taxonomy

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

## Other

- **Enumeration date:** 05/13/2022
- **Last updated:** 05/13/2022