BECKLEY VAMC (NPI# 1063885754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063885754 |
| Entity Type | Organization |
| Organization Name | BECKLEY VAMC |
| Other Organization Name | BLUEFIELD VA MOBILE CLINIC |
| Practice Address |
1780 Stadium Dr Bluefield WV 24701-3322 |
| Mailing Address |
Po Box 89428 Cleveland OH 44101-6428 |
| Practice Telephone | 8282572333 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2018-04-13 |
| 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 |
|---|---|
| BLUEFIELD VA MOBILE CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477947331 | Beckley Vamc | Clinic/Center | 150 Courthouse Rd, Princeton, WV 24740-2419 | 2015-03-27 |
| 1861794067 | Beckley Vamc | Clinic/Center | 228 Shamrock Ln, Ronceverte, WV 24970-8380 | 2010-11-22 |
| 1750330858 | Beckley Vamc | General Acute Care Hospital | 200 Veterans Ave, Beckley, WV 25801-6444 | 2006-05-08 |
| 1104884535 | Beckley Vamc | Department of Veterans Affairs (VA) Pharmacy | 200 Veterans Ave, Beckley, WV 25801-6444 | 2006-05-03 |
| Street Address |
1780 STADIUM DR |
| City | BLUEFIELD |
| State | WV |
| Zip Code | 24701-3322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285083105 | Amber Mcclung | Pharmacist | South View Mall Us Route 52, Bluewell, WV 24701 | 2016-06-10 |
| 1083003909 | Kerri Francis | Specialist/Technologist | 219 Rock Street, Bluefield, WV 24701 | 2015-01-15 |
| 1740524222 | Stephanie Michelle Neely | Specialist | Rt 2 Old Princeton Road, Bluefield, WV 24701 | 2012-11-21 |
| 1649525676 | Charles Lohr | Pharmacist | 2924 E Cumberland Rd, Bluefield, WV 24701 | 2012-07-16 |
| 1508144239 | Chastity Leigh Walker | Nurse Practitioner | 510 Cherry St., Suite 301, Bluefield Primary Care, Bluefield, WV 24701 | 2011-07-29 |
| 1861795338 | Tracy Lynn Mathena | Pharmacist | Us Rt 52 N, Bluewell, WV 24701 | 2010-12-06 |
| 1972810125 | Bluefield Clinic Company LLC | Clinic/Center | 154 Majestic Place, Bluefield, WV 24701 | 2010-09-09 |
| 1477885804 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | Mercer Mall Rte460, Mercer Mall Ste #740, Bluefield, WV 24701 | 2010-02-10 |
| 1629257522 | Robert Martin Mustard II | Technician/Technologist | 210 1/2 North Street, Bluefield, WV 24701 | 2007-10-26 |
| 1952596603 | Bluefield Int & Cardio | Internal Medicine | 1331 Southview Drive, Suite 5, Bluefield, WV 24701 | 2007-09-06 |
| Find all providers in zip 24701 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477947331 | Beckley Vamc | Clinic/Center | 150 Courthouse Rd, Princeton, WV 24740-2419 | 2015-03-27 |
| 1861809816 | Huntington Vamc | Clinic/Center | 15 Lenore Business Mall, 2867 Route 65, Williamson, WV 25661-9199 | 2014-07-22 |
| 1861794067 | Beckley Vamc | Clinic/Center | 228 Shamrock Ln, Ronceverte, WV 24970-8380 | 2010-11-22 |
| 1912941501 | Martinsburg Vamc | Clinic/Center | 15 Grant St, Petersburg, WV 26847-1613 | 2006-06-15 |
| 1669412037 | Clarksburg Vamc | Clinic/Center | 260 Spruce St, Parsons, WV 26287-1015 | 2006-06-07 |
| 1194771071 | Martinsburg Vamc | Clinic/Center | 91 Pine Street, Franklin, WV 26807-9998 | 2006-05-25 |
| 1790739118 | Clarksburg Vamc | Clinic/Center | 40 Reston Pl, Gassaway, WV 26624-7899 | 2006-05-20 |
| 1194776823 | Braxton Va Clinic | Clinic/Center | 707 Elk St, Gassaway, WV 26624-1113 | 2006-05-15 |
| 1144271883 | Huntington Vamc | Clinic/Center | 700 Technology Dr, South Charleston, WV 25309-8571 | 2006-05-15 |
| 1619475027 | Huntington Vamc | Clinic/Center | 1540 Spring Valley Dr, Huntington, WV 25704-9300 | 2018-01-31 |
| 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.