Organization
DANVILLE VAMC
Active
Other names
MATTOON VA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
501 LAKE LAND BLVD, MATTOON, IL 61938
(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
09/11/2009
Last updated
02/22/2023
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