# CLEVELAND VAMC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CLEVELAND 4 VA MOBILE CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982484440
- **Authorized official:** ERIN DENISE POTTER (NPI TEAM)
- **Authorized official phone:** (202) 382-2579

## Contact information

- **Practice address:** 10701 EAST BLVD, CLEVELAND, OH 44106-1702
- **Practice address phone:** (608) 821-7200
- **Practice address fax:** (608) 821-7658
- **Mailing address:** PO BOX 94477, CLEVELAND, OH 44101-4477
- **Mailing address phone:** (608) 821-7200
- **Mailing address fax:** (608) 821-7658

## Taxonomy

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

## Other

- **Enumeration date:** 10/03/2023
- **Last updated:** 10/03/2023