Organization
MARION VAMC
Active
Other names
Fort Wayne VAMC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(608) 821-7200
(608) 821-7658
Mailing address
PO BOX 94486, CLEVELAND, OH 44101-4486
(608) 821-7200
(608) 821-7658
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
05/06/2006
Last updated
02/24/2023
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