Organization
SPOKANE VAMC
Active
Other names
Kootenai VA Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
130 MCGHEE RD STE 101, KOOTENAI, ID 83840-0040
(702) 341-3164
(702) 341-3503
Mailing address
PO BOX 94421, CLEVELAND, OH 44101-4421
(702) 341-3164
(702) 341-3503
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
02/11/2015
Last updated
11/16/2022
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