# LITTLE ROCK VAMC

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

## Provider details

- **NPI number:** 1518275056
- **Authorized official:** ERIN POTTER (NPI TEAM MEMBER)
- **Authorized official phone:** (202) 382-2579

## Contact information

- **Practice address:** 3106 W 2ND CT, RUSSELLVILLE, AR 72801-4503
- **Practice address phone:** (615) 355-3451
- **Mailing address:** PO BOX 94499, CLEVELAND, OH 44101
- **Mailing address phone:** (615) 355-3451

## Taxonomy

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

## Other

- **Enumeration date:** 09/17/2010
- **Last updated:** 09/26/2017