HINES VAMC NPI 1780631317

NPI Information

NPI: 1780631317
Provider Name: HINES VAMC

Other Name: BOURBONNAIS VA CBOC

Classification: Clinic/Center - 261QV0200X
Entity Type: Organization

Specialization: VA

Address:
581 WILLIAM LATHAM DR
BOURBONNAIS, IL
ZIP 60914
Phone: (608) 821-7200
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HINES VAMC is a va clinic center in Bourbonnais, IL. HINES VAMC NPI is 1780631317. The provider is registered as an organization entity type.
The provider Other Name Is Bourbonnais Va Cboc.

The provider's business location address is:

581 WILLIAM LATHAM DR
BOURBONNAIS, IL
ZIP 60914-317
Phone: (608) 821-7200
Fax: (608) 821-7658

The provider's authorized official is Erin Potter .
The authorized official title is Npi Team and has the following contact phone number (202) 382-2579.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 2/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QV0200X	Clinic/Center	VA			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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