JACKSON VAMC


Address: 1502 S Colorado St, Greenville, MS 38703-7219
Phone: 6153553451

JACKSON VAMC (NPI# 1043250418) 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) 1043250418
Entity Type Organization
Organization Name JACKSON VAMC
Other Organization Name GREENVILLE VA CBOC
Practice Address 1502 S Colorado St
Greenville
MS 38703-7219
Mailing Address Po Box 94497
Cleveland
OH 44101-4497
Practice Telephone 6153553451
Mailing Telephone 6153553451
Enumeration Date 2006-06-07
Last Update Date 2017-10-04
Authorized Official Name MRS. 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
Greenville VA CBOC Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407303050 Jackson Vamc Clinic/Center 6522 Dogwood View Parkway, Suite F, Jackson, MS 39213-7858 2016-09-01
1841232097 Jackson Vamc Clinic/Center 405 W Adams St, Kosciusko, MS 39090-3617 2006-06-12
1669410288 Jackson Vamc Clinic/Center 2103 13th St, Meridian, MS 39301-4045 2006-06-04
1528006152 Jackson Vamc Clinic/Center 105 Northgate Rd, Suite 2, Natchez, MS 39120-9162 2006-06-04
1376598698 Jackson Vamc Clinic/Center 5003 Hardy Street, Tower B Suite 402, Hattiesburg, MS 39402-1331 2006-05-24
1295787364 Jackson Vamc Clinic/Center 824 Alabama St, Columbus, MS 39702-5436 2006-05-17
1154784965 Jackson Vamc Psychiatric Residential Treatment Facility 1500 Woodrow Wilson Ave, Jackson, MS 39216-5116 2016-03-30
1922496280 Jackson Vamc Clinic/Center 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2015-01-08
1467762120 Jackson Vamc Clinic/Center 1308 Harrison Ave, Mccomb, MS 39648-2830 2010-10-15
1992754543 Jackson Vamc General Acute Care Hospital 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2006-05-10

Office Location

Street Address 1502 S COLORADO ST
City GREENVILLE
State MS
Zip Code 38703-7219

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376196238 Willie Andrew Pole Jr. Social Worker 1502 S Colorado St, Greenville, MS 38703-7219 2019-07-19
1194211094 Carly Maranne Hazzard Nurse Practitioner 1502 S Colorado St, Greenville, MS 38703-7219 2018-07-03
1992241269 Medical Foundation of Central Ms Inc Internal Medicine 1502 S Colorado St, Greenville, MS 38703-7219 2017-01-11
1578016259 Medical Foundation of Central Ms Inc Internal Medicine 1502 S Colorado St, Greenville, MS 38703-7219 2016-07-28
1861843690 Patricia Ann Barber Nurse Practitioner 1502 S Colorado St, Greenville, MS 38703-7219 2016-06-22
1568848299 Mary Riley Nurse Practitioner 1502 S Colorado St, Greenville, MS 38703-7219 2015-08-04
1144620592 Kelli Bearden Nurse Practitioner 1502 S Colorado St, Greenville, MS 38703-7219 2014-09-03
1457798241 Greenville Neuro Diagnostic Center, P.C. Psychiatry & Neurology 1502 S Colorado St, Greenville, MS 38703-7219 2013-06-03
1730446303 Greenville Neurology Center, LLC Psychiatry & Neurology 1502 S Colorado St, Greenville, MS 38703-7219 2012-04-19
1164654471 Rheumatology Associates of Greenville PC Clinic/Center 1502 S Colorado St, Greenville, MS 38703-7219 2009-08-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164031373 Rohith Reddy Guduru Venkata Family Medicine Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 2020-07-24
1720627599 Ava Seniors Academy LLC Clinic/Center 2425 E. Alexander Street, Greenville, MS 38703 2019-12-27
1902370661 River City Rehabilitation Physical Therapy Assistant 1707 South Colorado Suite A, Greenville, MS 38703 2019-01-16
1942743653 Jalisa R Greer Speech-Language Pathologist 1462 S Colorado Street, Apt 2g, Greenville, MS 38703 2016-11-29
1912381609 Mvp Health Systems Pharmacy 1907 N. Medical Park Drive, Greenville, MS 38703 2015-07-13
1558704387 Joann Wilson Driver 1766 Old Leland Rd, Greenville, MS 38703 2013-04-11
1215167150 Luther Brandon Oakes Family Medicine 1907 Lisa Drive Ext, Greenville, MS 38703 2009-07-24
1346462751 Drs Lenoir and Cirilli Pa Internal Medicine 1307 East Union, Greenville, MS 38703 2007-05-03
1669598561 Michael Joseph Cirilli Internal Medicine 1307 E Union, Doctors Lenoir & Cirilli Pa, Greenville, MS 38703 2007-03-22
1780740183 Jean Marie Barker Family Medicine 1659 East Union Street, Greenville, MS 38703 2006-12-29
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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
1811942121 Dallas Vamc Clinic/Center 4006 Wellington St, Greenville, TX 75401-7828 2006-05-24
1174614531 Dept of Veterans Affairs Clinic/Center 3510 Augusta Rd, Greenville, SC 29605-1302 2006-09-28
1104865211 Columbia Vamc Clinic/Center 41 Park Creek Dr, Greenville, SC 29605-4270 2006-06-05
1083669030 Durham Vamc Clinic/Center 401 Moye Blvd, Greenville, NC 27834-2885 2006-05-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407303050 Jackson Vamc Clinic/Center 6522 Dogwood View Parkway, Suite F, Jackson, MS 39213-7858 2016-09-01
1841232097 Jackson Vamc Clinic/Center 405 W Adams St, Kosciusko, MS 39090-3617 2006-06-12
1669410288 Jackson Vamc Clinic/Center 2103 13th St, Meridian, MS 39301-4045 2006-06-04
1528006152 Jackson Vamc Clinic/Center 105 Northgate Rd, Suite 2, Natchez, MS 39120-9162 2006-06-04
1073552436 Memphis Vamc Clinic/Center 1114 Commonwealth Blvd., Tupelo, MS 38804-9998 2006-06-04
1376598698 Jackson Vamc Clinic/Center 5003 Hardy Street, Tower B Suite 402, Hattiesburg, MS 39402-1331 2006-05-24
1194778357 Memphis Vamc Clinic/Center 1700 Crescent Meadows, Holly Springs, MS 38635-7414 2006-05-18
1295787364 Jackson Vamc Clinic/Center 824 Alabama St, Columbus, MS 39702-5436 2006-05-17
1972044048 Dewona Flowers Clinic/Center 604 Lexington Cv, Byram, MS 39272-3004 2017-03-09
1245770445 Clinton Medical Center Clinic/Center 604 Lexington Cv, Byram, MS 39272-3004 2017-03-07
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Competitor

Search similar providers

City GREENVILLE
Zip Code 38703

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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