Organization
INDIANAPOLIS VAMC
Active
Other names
BLOOMINGTON 1 VA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
1332 ARCH HAVEN AVENUE, BLOOMINGTON, IN 47403-2079
(608) 821-7200
(608) 821-7658
Mailing address
PO BOX 94483, CLEVELAND, OH 44101-4483
(608) 821-7200
(608) 821-7658
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2015
Last updated
02/24/2023
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