Organization
DANVILLE VAMC
Active
Other names
BLOOMINGTON 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
207 E HAMILTON RD, BLOOMINGTON, IL 61704-7527
(608) 821-7200
(608) 821-7658
Mailing address
PO BOX 94478, CLEVELAND, OH 44101-4478
(608) 821-7200
(608) 821-7658
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
02/22/2023
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