P Praxis·MD
● 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
Subspecialties
0

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.

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QV0200X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • POCATELLO VA CLINIC
    Type code 5 recorded 2018-03-08

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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