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Organization

INDIANAPOLIS VAMC

Active
Other names
SHELBYVILLE VA CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
ERIN DENISE POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization

Contact information

Practice address
2158 INTELLIPLEX DR STE 200, SHELBYVILLE, IN 46176-8549
(608) 821-7200
(608) 821-7658
Mailing address
PO BOX 94483, CLEVELAND, OH 44101-4483
(608) 821-7200
(608) 821-7658

Taxonomy

Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary

Other

Enumeration date
07/05/2018
Last updated
07/18/2023
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