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Shreveport Vamc — NPI 1043090509, Shreveport, LA | NPI Central

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NPI 1043090509

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Shreveport Vamc

NPI 1043090509 · VA Clinic/Center · Shreveport, LA

Provider details

NPI number: 1043090509
Entity type: Organization
Primary specialty: VA Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Erin Potter, Npi Team Lead(202) 382-2579

Specialties & taxonomies

VA Clinic/CenterPrimary261QV0200X
Ambulatory Health Care Facilities

Practice location

510 E Stoner Ave

Shreveport, LA 71101-4243

Phone: (615) 355-3451

Approximate (ZIP-level) locationGet directions

More LA providers

Mailing address

Po Box 94538

Cleveland, OH 44101-4538

Other names (DBA / former)

Other name: Shreveport 1 Va Mobile Clinic

Registry dates

Enumerated: 2023-10-03
Last updated: 2023-10-03
Certified: 2023-09-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.