| Organization Name: | VETERANS ADMINISTRATION |
| NPI Number: | 1013202951 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AUDRY SMITH (COORDINATOR FOR MHICM PROGRAMS) |
| Mailing Address: | 301 Governors Dr Sw Huntsville |
| State: | AL US |
| Postal Code: | 358015123 |
| Phone Number: | 2565353100 |
| Fax Number: | |
| NPI Enumeration Date: | 06/17/2011 |
| NPI Last Update Date: | 06/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QV0200X |
| License Number: | 2732G |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | VA |
| Taxonomy Definition: | |