institution
Salt Lake City Vamc
VA Clinic/Center in Pocatello, Idaho
NPI 1487691002

Salt Lake City Vamc is a VA Clinic/Center based in Cleveland, ID and is specialized in VA. Salt Lake City Vamc practices in Pocatello, ID. The NPI Number for Salt Lake City Vamc is 1487691002 and holds a License No. (Idaho).

The current practice location address for Salt Lake City Vamc is 500 S 11Th Ave, Pocatello, ID and can be reached out via phone at 913-578-4409.

Location: 500 S 11Th Ave, Pocatello, ID, 44101-4463
institution
Provider Profile Details
NPI Number
1487691002
Provider Name
Salt Lake City Vamc
Credential
Provider Entity Type
Organization
Address
500 S 11Th Ave, Pocatello, ID, 44101-4463
Phone Number
913-578-4409
Fax Number
Provider Enumeration Date
06/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
500 S 11Th Ave
City
State
Zip
83201-4835
Phone Number
913-578-4409
Fax Number
person
Provider Business Mailing Address Details
Address
500 S 11Th Ave
City
State
Zip
83201-4835
Phone Number
913-578-4409
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
VA
Taxonomy
License No.
()
Definition
Definition to come...
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