Provider Demographics
NPI:1558398701
Name:VETERAN AFFAIRS MEDICAL CENTER
Entity Type:Organization
Organization Name:VETERAN AFFAIRS MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HARNINDER SINGH
Authorized Official - Middle Name:-
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:906-774-3300
Mailing Address - Street 1:110 BRADLEY ST
Mailing Address - Street 2:
Mailing Address - City:IRON MOUNTAIN
Mailing Address - State:MI
Mailing Address - Zip Code:49801-6657
Mailing Address - Country:US
Mailing Address - Phone:906-774-0362
Mailing Address - Fax:906-779-3180
Practice Address - Street 1:325 H EAST STREET
Practice Address - Street 2:
Practice Address - City:IRONMOUNTAIN
Practice Address - State:MI
Practice Address - Zip Code:49801-6657
Practice Address - Country:US
Practice Address - Phone:907-774-3300
Practice Address - Fax:906-779-3143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301081826281P00000X, 282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered281P00000XHospitalsChronic Disease Hospital
Not Answered282N00000XHospitalsGeneral Acute Care Hospital