TOGUS VAMC (NPI# 1033160064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033160064 |
| Entity Type | Organization |
| Organization Name | TOGUS VAMC |
| Other Organization Name | BANGOR VA CBOC |
| Practice Address |
35 State Hospital Dr Bangor ME 04401-8816 |
| Mailing Address |
Po Box 3013 Lebanon PA 17042-3013 |
| Practice Telephone | 7172776565 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2017-02-17 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bangor VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114961992 | Togus Vamc | Clinic/Center | 144 Fore St, Suite 200, Portland, ME 04101-4843 | 2006-06-15 |
| 1942675103 | Togus Vamc | Clinic/Center | 241 Main St, Bingham, ME 04920-9998 | 2015-12-14 |
| 1407254188 | Togus Vamc | Clinic/Center | 20 Hartford Street, Houlton, ME 04730-1859 | 2014-12-12 |
| 1821496886 | Togus Vamc | Clinic/Center | 197 E Main St, Fort Kent, ME 04743-1409 | 2014-12-08 |
| 1609283787 | Togus Vamc | Clinic/Center | 99 River Rd, Lincoln, ME 04457-4012 | 2014-07-21 |
| 1770809691 | Togus Vamc | Clinic/Center | 15 Challenger Dr, Lewiston, ME 04240-1041 | 2010-04-16 |
| 1982646360 | Togus Vamc | Clinic/Center | 431 Franklin St, Rumford, ME 04276-2100 | 2006-06-12 |
| 1710929369 | Togus Vamc | Clinic/Center | 655 Main St, Saco, ME 04072-1543 | 2006-06-11 |
| 1609829514 | Togus Vamc | Clinic/Center | 163 Van Buren Rd, Ste 6, Caribou, ME 04736-3567 | 2006-05-19 |
| 1528019130 | Togus Vamc | Clinic/Center | 50 Union St, Calais, ME 04619-1839 | 2006-05-16 |
| Street Address |
35 STATE HOSPITAL DR |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-8816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255991352 | Lindsay Michaud | Optometrist | 35 State Hospital Dr, Bangor, ME 04401-8816 | 2019-06-19 |
| 1881079192 | Katherine Dawn Nickerson | Optometrist | 35 State Hospital Dr, Bangor, ME 04401-8816 | 2015-07-28 |
| 1356615645 | Brianna Rae Charles | Pharmacist | 35 State Hospital Dr, Bangor, ME 04401-8816 | 2012-03-04 |
| 1013295849 | Julie Anne M Joy | Social Worker | 35 State Hospital Dr, Bangor, ME 04401-8816 | 2011-07-27 |
| 1548567068 | Jaymie Fe Potenciano Panuncialman | Dermatology | 35 State Hospital Dr, Bangor, ME 04401-8816 | 2011-02-18 |
| 1972836518 | Jennifer Lyn Sprague | Optometrist | 35 State Hospital Dr, Bangor, ME 04401-8816 | 2009-09-15 |
| 1841440146 | Karen L. Martin | Social Worker | 35 State Hospital Dr, Vha Bangor Mental Health Clinic, Bangor, ME 04401-8816 | 2008-09-23 |
| 1518161082 | Jared Lenz | Family Medicine | 35 State Hospital Dr, Bangor, ME 04401 | 2007-06-11 |
| 1700997970 | Ronald David Tapley | Pharmacist | 35 State Hospital Dr, Bangor, ME 04401-8816 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366639973 | Wilkes Barre Vamc | Clinic/Center | 701 Slate Belt Blvd, Bangor, PA 18013-9341 | 2007-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114961992 | Togus Vamc | Clinic/Center | 144 Fore St, Suite 200, Portland, ME 04101-4843 | 2006-06-15 |
| 1942675103 | Togus Vamc | Clinic/Center | 241 Main St, Bingham, ME 04920-9998 | 2015-12-14 |
| 1407254188 | Togus Vamc | Clinic/Center | 20 Hartford Street, Houlton, ME 04730-1859 | 2014-12-12 |
| 1821496886 | Togus Vamc | Clinic/Center | 197 E Main St, Fort Kent, ME 04743-1409 | 2014-12-08 |
| 1609283787 | Togus Vamc | Clinic/Center | 99 River Rd, Lincoln, ME 04457-4012 | 2014-07-21 |
| 1770809691 | Togus Vamc | Clinic/Center | 15 Challenger Dr, Lewiston, ME 04240-1041 | 2010-04-16 |
| 1184648594 | Department of Veteran Affairs | Clinic/Center | 163 Van Buren Rd, Suite 6, Caribou, ME 04736-3567 | 2006-07-27 |
| 1982646360 | Togus Vamc | Clinic/Center | 431 Franklin St, Rumford, ME 04276-2100 | 2006-06-12 |
| 1710929369 | Togus Vamc | Clinic/Center | 655 Main St, Saco, ME 04072-1543 | 2006-06-11 |
| 1609829514 | Togus Vamc | Clinic/Center | 163 Van Buren Rd, Ste 6, Caribou, ME 04736-3567 | 2006-05-19 |
| Find all providers with the same taxonomy | ||||
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| 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.