Whalio Doctors

NPI 1003223165

Boise Vamc

Organisation VA Clinic/Center Mountain Home, ID

Practice location

Address
815 N 6th E, Mountain Home, ID 83647-2207
Phone
(702) 341-3164
Mailing address
PO Box 94402, Cleveland, OH 44101-4402

Authorised official

Name
Erin Potter
Title
Npi Team Member
Phone
(202) 382-2579

Registered specialties

VA Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QV0200X

Registry record

NPI
1003223165
Entity type
Organization
NPI issued
21 Jul 2014
Record last updated
31 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.