NPI 1962683474

Honolulu Vamc

Organisation VA Clinic/Center Pago Pago, AS

Practice location

Address: Fiatele Teo Army Reserve Building, Pago Pago, AS 96799-9992
Phone: (702) 341-3020
Mailing address: PO Box 94406, Cleveland, OH 44101-4406

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

Other Clinic/Center providers in American Samoa →

Registry record

NPI: 1962683474
Entity type: Organization
NPI issued: 27 Nov 2007
Record last updated: 10 Dec 2019

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.