● Active Type 2 · Organization
Salt Lake City Vamc
Clinic/Center·Pocatello, ID· NPI 1487691002
·
Enumerated 2006 · 19 years on NPI
Salt Lake City Vamc is 1 of 14 clinic/center organizations in Idaho.
NPI age
19 years
Enumerated 2006-06-01
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Potter
Npi Team Member
Last NPPES update
2018-03-08
Source: monthly bulk 2026-05
How this organization compares
Across 14 active clinic/center providers in Idaho.
NPI age
19 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
500 S 11th Ave
Pocatello, ID 832014835
📞 9135784409
Mailing address
Po Box 94463
Cleveland, OH 441014463
📞 9135784409
Authorized official
Erin Potter
Npi Team Member
📞 2023822579
Individual providers at this organization
20 individual providers on file at this primary practice address.
-
Cynthia Amen, PHD
Psychologist
NPI 1457408122
-
Linda Babbitt, M.D.
Internal Medicine
NPI 1235232422
-
Walter Birkenhagen, M.D.
Surgery
NPI 1407849060
-
Cheryl Callaghan, M.D.
Obstetrics & Gynecology
NPI 1801841457
-
Michael Callaghan, M.D.
Radiology
NPI 1316978539
-
James Campbell, PA-C
Physician Assistant
NPI 1144550724
-
John Christensen, PHD
Psychologist
NPI 1124175898
-
Marty Cooke, LCPC
Counselor
NPI 1831246594
-
Clay Cornelison, DO
Psychiatry & Neurology
NPI 1609454040
-
Julia Duran, LMLP
Psychologist
NPI 1508512716
-
Becki Echavez Cheek, LCSW
Social Worker
NPI 1649767237
-
Adam Gault, DNP, FNP-C
Nurse Practitioner
NPI 1700365178
-
Tracy Gibson, CNM
Advanced Practice Midwife
NPI 1700896685
-
William Hazle, MD
Psychiatry & Neurology
NPI 1629039763
-
Steven Krawtz, M.D.
Internal Medicine
NPI 1972563310
-
John Lackey, MD
Specialist
NPI 1063456648
-
Karl Letko, MPAS, PA-C
Physician Assistant
NPI 1689977019
-
Chelsie Morrison, D.O.
Family Medicine
NPI 1710111935
-
Melissa Odegard, LPC
Counselor
NPI 1710197942
-
James Osborne, LCPC
Counselor
NPI 1710446216
Specialties
-
Clinic/Center
Primary
Definition to come...
taxonomy 261QV0200X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.