Organization
MOUNTAIN HOME VAMC
Active
Other names
BRISTOL 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
3130 LEE HWY STE 201, BRISTOL, VA 24202-5943
(615) 355-3451
Mailing address
PO BOX 94516, CLEVELAND, OH 44101
(615) 355-3451
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2008
Last updated
05/04/2021
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