Organization
CLEVELAND VA CBOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGNES E. DEEHR (LPN)
(920) 693-5600
Entity
Organization
Contact information
Practice address
1205 NORTH AVE, CLEVELAND, WI 53015-1413
(188) 469-6614
Mailing address
336 E JEFFERSON AVE, CLEVELAND, WI 53015-1530
(920) 693-8478
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
8882-031
WI
Other
Enumeration date
07/31/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up