# CHARLESTON VAMC

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

## Provider details

- **NPI number:** 1861271116
- **Authorized official:** ERIN DENISE POTTER (NPI TEAM)
- **Authorized official phone:** (202) 382-2579

## Contact information

- **Practice address:** 109 BEE ST, CHARLESTON, SC 29401-5703
- **Practice address phone:** (828) 257-2333
- **Practice address fax:** (828) 257-2399
- **Mailing address:** PO BOX 89425, CLEVELAND, OH 44101-6425
- **Mailing address phone:** (828) 257-2333
- **Mailing address fax:** (828) 257-2399

## Taxonomy

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

## Other

- **Enumeration date:** 09/26/2023
- **Last updated:** 09/26/2023