Organization
FARGO VAMC
Active
Other names
WILLISTON VA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
3210 27TH ST W STE 210, WILLISTON, ND 58801-5453
(913) 578-4409
(913) 578-4536
Mailing address
PO BOX 94452, CLEVELAND, OH 44101-4452
(913) 578-4409
(913) 578-4536
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2007
Last updated
01/31/2025
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