# JACKSON VAMC

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

## Provider details

- **NPI number:** 1528006152
- **Authorized official:** ERIN POTTER (NPI TEAM MEMBER)
- **Authorized official phone:** (202) 382-2579

## Contact information

- **Practice address:** 105 NORTHGATE RD, SUITE 2, NATCHEZ, MS 39120-9162
- **Practice address phone:** (615) 355-3451
- **Mailing address:** PO BOX 94497, CLEVELAND, OH 44101-4497
- **Mailing address phone:** (615) 355-3451

## Taxonomy

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

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 10/04/2017