Organization
BOISE VAMC
Active
Other names
MOUNTAIN HOME VA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
815 N 6TH E, MOUNTAIN HOME, ID 83647-2207
(702) 341-3164
Mailing address
PO BOX 94402, CLEVELAND, OH 44101-4402
(702) 341-3164
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2014
Last updated
10/31/2017
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