Organization
ST. CLOUD VAMC
Active
Organization
ST. CLOUD VAMC
Active
Other names
Alexandria VA Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM)
(202) 382-2579
Entity
Organization
Contact information
Practice address
410 30TH AVE E, ALEXANDRIA, MN 56308-4769
(913) 578-4409
Mailing address
PO BOX 94461, CLEVELAND, OH 44101-4461
(913) 578-4409
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2009
Last updated
06/21/2023
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