OrganizationActive
Jackson Vamc
NPI 1376598698 · VA Clinic/Center · Hattiesburg, MS
Provider details
- NPI number
- 1376598698
- 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
Practice location
5003 Hardy Street
Tower B Suite 402
Hattiesburg, MS 39402-1331
Phone: (615) 355-3451
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 94497
Cleveland, OH 44101-4497
Other names (DBA / former)
- Other name
- Hattiesburg Va Clinic
Registry dates
- Enumerated
- 2006-05-24
- Last updated
- 2017-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.