Organization
LAS VEGAS VAMC
Active
Organization
LAS VEGAS VAMC
Active
Other names
Northeast Las Vegas VA CBOC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (EBILLING PROJECT MANAGER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
4461 E CHARLESTON BLVD, LAS VEGAS, NV 89104-5537
(702) 341-3020
Mailing address
PO BOX 94408, CLEVELAND, OH 44101-4408
(702) 341-3020
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2011
Last updated
10/31/2017
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