# PRESCOTT VAMC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ANTHEM VA CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477504975
- **Authorized official:** ERIN POTTER (NPI TEAM MEMBER)
- **Authorized official phone:** (202) 382-2579

## Contact information

- **Practice address:** 41810 N VENTURE DR BLDG B, ANTHEM, AZ 85086-3169
- **Practice address phone:** (702) 341-3152
- **Mailing address:** PO BOX 94411, CLEVELAND, OH 44101-4411
- **Mailing address phone:** (702) 341-3152

## Taxonomy

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

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 05/03/2018