Vamc is a Va in Marion, Illinois. Vamc practices all healthcare services and medical treatments related to Va. The NPI Number for Vamc is 1881623577. The last update date is 2020-08-22.
Vamc's current location address is 2401 W Main St, Marion, Illinois. You can contact this provider via phone number 6189975311 and fax number 6189985661. The mailing address for Vamc is 2401 W Main St, Marion, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vamc |
|---|---|
| Address | 2401 W Main St, Marion, Illinois |
| Phone Number | 6189975311 |
| Fax Number | 6189985661 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | STAFFCARDI |
|---|---|
| Authorized Official Name | Mansuri Y Mohammed |
| Credentials | MD |
| Telephone Number | 6189975311 |
NPI Number Detail
| NPI Number | 1881623577 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2401 W Main St |
|---|---|
| City | Marion |
| State | Illinois (IL) |
| Post Code | 629591188 |
| Phone Number | 6189975311 |
| Fax Number | 6189985661 |
Provider's Primary Taxonomy Detail
| Speciality | Va |
|---|---|
| Taxonomy | 261Qv0200X |
| Licence No | 4301040401 |
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Definition: Provides primary care, disease prevention and specialty services to eligible veterans. |
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What is the unique 10-digit identification code issued to Vamc by the Centers for Medicare & Medicaid Services?
The Vamc has been assigned the NPI (National Provider Identifier) 1881623577 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Vamc's physical address?
The Vamc is physically located at 2401 W Main St, in the city of Marion, IL, with the postal code 629591188.
What is Vamc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Vamc's specialized field of practice is Va, and the corresponding taxonomy code that categorizes this area of specialization is 261Qv0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1881623577 to Vamc?
The Vamc received its 1881623577 assignment from the Centers for Medicare & Medicaid Services on 2006-07-03.
As of what date were the details related to Vamc most recently updated or revised?
The information pertaining to Vamc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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