VETERAN'S ADMINISTRATION (NPI# 1043323793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043323793 |
Entity Type | Organization |
Organization Name | VETERAN'S ADMINISTRATION |
Practice Address |
3035 E Mound Rd Decatur IL 62526-9650 |
Mailing Address |
632 E Bodman St Bement IL 61813-1206 |
Practice Telephone | 2178752670 |
Practice Fax Number | 2178752689 |
Mailing Telephone | 2176208891 |
Enumeration Date | 2006-08-16 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. GERALDINE THORNHILL WIRTH (NURSE PRACTITIONER) |
Authorized Official Telephone | 2178752670 |
Authorized Official Credential | A.P.R.N. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
IL | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083803696 | Veteran's Administration | Early Intervention Provider Agency | 4518 N Assembly St, Spokane, WA 99205-1901 | 2007-10-19 |
1164666087 | Veteran's Administration | Special Hospital | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2009-04-22 |
1932383866 | Veteran's Administration | Clinic/Center | 109 Bee St, Charleston, SC 29401-5703 | 2007-12-27 |
1124211156 | Veteran's Administration | Nursing Facility/Intermediate Care Facility | 4100 W 3rd St, Dayton, OH 45428-9000 | 2007-08-22 |
1023232261 | Veteran's Administration | General Acute Care Hospital | 1020 Progress St, M501, Pittsburgh, PA 15212-5954 | 2007-04-12 |
1750418422 | Veteran's Administration | General Acute Care Hospital | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2007-02-28 |
Street Address |
3035 E MOUND RD |
City | DECATUR |
State | IL |
Zip Code | 62526-9650 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518978972 | Kerri Ann Dixon | Registered Nurse | 3035 E Mound Rd, Decatur, IL 62526-9650 | 2006-08-11 |
1578941589 | Anina Blankenship | Social Worker | 3035 E Mound Rd, Decatur, IL 62526-9650 | 2015-05-11 |
1902101017 | Ashley Thais | Pharmacist | 3035 E Mound Rd, Decatur Cboc, Decatur, IL 62526-9650 | 2011-01-20 |
1366771339 | Amber Teresa Clark | Social Worker | 3035 E Mound Rd, Decatur, IL 62526-9650 | 2009-12-21 |
1457582389 | Jessica Marie Johnson | Optometrist | 3035 E Mound Rd, Decatur, IL 62526-9650 | 2009-07-27 |
1538398656 | Department of Veterans Affairs | Clinic/Center | 3035 E Mound Rd, Decatur, IL 62526-9650 | 2009-07-10 |
1518065119 | Janet L. Whitehead | Social Worker | 3035 E Mound Rd, Decatur, IL 62526-9650 | 2006-09-20 |
1679675490 | Kathryn F Fair | Psychologist | 3035 E Mound Rd, Decatur, IL 62526-9650 | 2006-09-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
Find all providers in zip 62526 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548763238 | Community Health Improvement Center | Clinic/Center | 1027 N Water, Decatur, IL 62523 | 2018-03-09 |
1831635770 | Community Health Improvement Center | Clinic/Center | 1027 N Water St, Decatur, IL 62523-1022 | 2017-01-17 |
1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
1083884852 | Community Health Improvement Center | Clinic/Center | 243 West Cerro Gordo Street, Decatur, IL 62526 | 2008-03-07 |
1790821023 | Oakhurst Medical Centers, Inc. | Clinic/Center | 1760 Candler Rd, Decatur, GA 30032-3254 | 2007-01-30 |
1609948306 | Southern Rural Health Care Consortium, Inc. | Clinic/Center | 1304 13th Avenue S.e., Suite F, Decatur, AL 35601 | 2006-11-15 |
1407376338 | Board of Trustees of Southern Illinois University | Clinic/Center | 102 W Kenwood Ave, Decatur, IL 62526-4368 | 2017-06-21 |
1053769273 | Recovery Consultants of Atlanta, Inc. | Clinic/Center | 4229 Snapfinger Woods Dr, Decatur, GA 30035-3440 | 2016-05-27 |
1114393543 | Saint Joseph's Mercy Care Services Inc. | Clinic/Center | 3110 Clifton Springs Rd, Suite B, Decatur, GA 30034-4600 | 2015-08-20 |
1861893216 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 445 Winn Way, Decatur, GA 30030-1707 | 2014-09-04 |
Find all providers in DECATUR |
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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.