NPI age
11 years
Enumerated 2015-02-06
● Active Type 2 · Organization
Salt Lake City Vamc
Salt Lake City Vamc is 1 of 14 clinic/center organizations in Idaho.
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
2018-11-23
Source: monthly bulk 2026-05
How this organization compares
Across 14 active clinic/center providers in Idaho.
NPI age
11 years
≈ at median (11 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-02Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
640 S Woodruff Ave
Idaho Falls, ID 834015299
Mailing address
Po Box 94463
Cleveland, OH 441014463
Authorized official
Erin Potter
Npi Team Member
📞 2023822579
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Cade Baldwin, D.D.S. Dentist NPI 1821260555
- Douglas Barnard, D.D.S. Dentist NPI 1760654487
- Steven Barnard, D.D.S. Dentist NPI 1265604995
- Alison Burau, LSCW Social Worker NPI 1265075568
- Alan Cooper, D.D.S. Dentist NPI 1558534917
- Blaine Hammond, DMD Dentist NPI 1295021632
- Nicholas Tanner, D.D.S. Dentist NPI 1811157001
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
IDAHO FALLS VA CLINIC
-
IDAHO FALLS VA CLINIC
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
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- 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.