MEMPHIS VAMC


Address: 1689 Nonconnah Blvd, Memphis, TN 38132-2105
Phone: 6153553451

MEMPHIS VAMC (NPI# 1003859588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003859588
Entity Type Organization
Organization Name MEMPHIS VAMC
Other Organization Name MEMPHIS VA CLINIC
Practice Address 1689 Nonconnah Blvd
Memphis
TN 38132-2105
Mailing Address Po Box 94511
Cleveland
OH 44101
Practice Telephone 6153553451
Mailing Telephone 6153553451
Enumeration Date 2006-06-13
Last Update Date 2017-09-13
Authorized Official Name ERIN POTTER (NPI TEAM MEMBER)
Authorized Official Telephone 2023822579
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QV0200X Clinic/Center
Specialization: VA
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Memphis VA Clinic Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1649401316 Memphis Vamc Clinic/Center 125 Quarles Ln, West Helena, AR 72390-1923 2009-07-29
1205072436 Memphis Vamc Clinic/Center 180 Old Hickory Blvd, Suite A, Jackson, TN 38305-2562 2008-12-17
1073552436 Memphis Vamc Clinic/Center 1114 Commonwealth Blvd., Tupelo, MS 38804-9998 2006-06-04
1619923398 Memphis Vamc Clinic/Center 2908 S Caraway Rd Ste B, Jonesboro, AR 72401-7306 2006-05-25
1669427050 Memphis Vamc Clinic/Center 70 Harbert Dr, Savannah, TN 38372-2333 2006-05-23
1194778357 Memphis Vamc Clinic/Center 1700 Crescent Meadows, Holly Springs, MS 38635-7414 2006-05-18
1154374726 Memphis Vamc Clinic/Center 3461 Austin Peay Hwy, Memphis, TN 38128-3801 2006-05-17
1326436452 Memphis Vamc Clinic/Center 1407 Union Ave, 11th Floor, Memphis, TN 38104-3627 2014-12-23
1659667996 Memphis Vamc Military Hospital 1030 Jefferson Ave, Memphis, TN 38104-2127 2011-06-24
1356572010 Memphis Vamc Clinic/Center 1067 Vendall Rd, Dyersburg, TN 38024-1622 2009-07-29

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities MEMPHIS VAMC 1030 Jefferson Ave, Memphis, TN 38104-2127

Office Location

Street Address 1689 NONCONNAH BLVD
City MEMPHIS
State TN
Zip Code 38132-2105

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134129265 Proactive Therapy of Greenville Inc Clinic/Center 1689 Nonconnah Blvd, Suite 100, Memphis, TN 38132-2102 2005-07-29
1295387629 Jeromica Bosshera Ward Optometrist 1689 Nonconnah Blvd, Memphis, TN 38132-2105 2019-07-16
1164084521 Kelly Marie Cawley Optometrist 1689 Nonconnah Blvd, Memphis, TN 38132-2105 2019-07-05
1982266342 Abagail Marie Kirk Optometrist 1689 Nonconnah Blvd, Memphis, TN 38132-2105 2019-07-05
1639731094 Matthew Mcbride Optometrist 1689 Nonconnah Blvd, Memphis, TN 38132-2105 2019-07-05
1629562905 Sarah Elizabeth Martine Maxey Optometrist 1689 Nonconnah Blvd, Memphis, TN 38132-2105 2018-06-19
1124511266 Theresa Karyn Cassidy Optometrist 1689 Nonconnah Blvd, Memphis, TN 38132-2105 2018-06-13
1659347250 Kevin Cozort Physical Therapist 1689 Nonconnah Blvd, Ste 100, Memphis, TN 38132-2102 2006-02-24
1184699324 Bradley Jason Cook Specialist/Technologist 1689 Nonconnah Blvd, Suite 105, Memphis, TN 38132-2102 2006-02-21
1689647901 Carol Marie Astill Specialist/Technologist 1689 Nonconnah Blvd, Suite 105, Memphis, TN 38132-2102 2006-02-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386163707 Casey Provo Dietitian, Registered 1689 Nonconnah Blvd., Memphis, TN 38132 2017-09-18
1164802195 Cynthia Luaune Poole Social Worker 2606 Corporate Dr, Memphis, TN 38132 2015-06-04
1033375753 Concentra Health Services, Inc. Clinic/Center 2831 Airways Blvd., Bldg. A, Suite 102, Memphis, TN 38132 2008-08-01
1063406676 The Synergy Foundation, Inc. Substance Abuse Rehabilitation Facility 2305 Airport Interchange Avenue, Memphis, TN 38132 2005-09-09
1932488129 Occupational Health Centers of The Southwest Pa Clinic/Center 2831 Airways Blvd, Bldg A, Ste 102, Memphis, TN 38132 2011-08-05
1699181461 Stacy Triplett Counselor 2305 Airport Interchange Ave, Memphis, TN 38132-1002 2014-07-01
1174852164 Delois Roberson Dentist 2781 Airways Blvd, Memphis, TN 38132-1104 2009-12-22
1801380985 Javier Jackson Physical Therapist 2781 Airways Blvd, Memphis, TN 38132-1104 2018-06-21
1326499252 Joshua Mock Physical Therapy Assistant 2781 Airways Blvd, Memphis, TN 38132-1104 2016-06-22
1295112720 Michelle Frulla Physical Therapy Assistant 2781 Airways Blvd, Memphis, TN 38132-1104 2015-05-05
Find all providers in zip 38132

Taxonomy Information

Taxonomy Code 261QV0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization VA

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154374726 Memphis Vamc Clinic/Center 3461 Austin Peay Hwy, Memphis, TN 38128-3801 2006-05-17
1326436452 Memphis Vamc Clinic/Center 1407 Union Ave, 11th Floor, Memphis, TN 38104-3627 2014-12-23
1801033964 Yan Cao Clinic/Center 1030 Jefferson Ave, Memphis, TN 38104-2127 2009-01-12
1023236577 Department of Veterans Affairs Clinic/Center 1030 Jefferson Ave, Memphis, TN 38104-2127 2007-04-22
1861405797 Elsheikh Ahmed Kineish Clinic/Center 1056 E Raines Rd, Memphis, TN 38116-6337 2006-08-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922544394 Mountain Home Vamc Clinic/Center 1521 Downtown West Blvd, Knoxville, TN 37919-5407 2017-01-10
1073060133 Nashville Vamc Clinic/Center 2 International Plaza Drive, Suite 300, Nashville, TN 37217-2011 2016-09-07
1962958256 Nashville Vamc Clinic/Center 1208 Pointe Centre Drive, Chattanooga, TN 37421-3989 2016-08-28
1750779898 Nashville Vamc Clinic/Center 1919 Charlotte Avenue, Suite 100, Nashville, TN 37203-2219 2014-12-23
1316267743 Nashville Vamc Clinic/Center 2305 N Gateway Ave, Suite 2, Harriman, TN 37748-8665 2010-06-08
1205072436 Memphis Vamc Clinic/Center 180 Old Hickory Blvd, Suite A, Jackson, TN 38305-2562 2008-12-17
1639342231 Mountain Home Vamc Clinic/Center 925 E Morris Blvd, Morristown, TN 37813-2499 2008-04-04
1326082546 Nashville Vamc Clinic/Center 225 Von Karman Road, Arnold Air Force Base, TN 37389-9998 2006-06-16
1700824646 Mountain Home Vamc Clinic/Center 401 Scenic Dr, Rogersville, TN 37857-2452 2006-06-03
1669427050 Memphis Vamc Clinic/Center 70 Harbert Dr, Savannah, TN 38372-2333 2006-05-23
Find all providers with the same taxonomy

Competitor

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City MEMPHIS
Zip Code 38132

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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