OrganizationActive
Wilkes Barre Vamc
NPI 1366639973 · VA Clinic/Center · Bangor, PA
Provider details
- NPI number
- 1366639973
- Entity type
- Organization
- Primary specialty
- VA Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Erin Potter, Npi Team Member(202) 382-2579
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
701 Slate Belt Blvd
Bangor, PA 18013-9341
Phone: (717) 277-6565
Street-level locationGet directions
Mailing address
Po Box 94450
Cleveland, OH 44101-4450
Other names (DBA / former)
- Other name
- Bangor Va Cboc
- Other name
- Bangor Va Cboc
Registry dates
- Enumerated
- 2007-09-27
- Last updated
- 2023-01-05
- Certified
- 2023-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.