MINNEAPOLIS VAMC (NPI# 1073094884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073094884 |
| Entity Type | Organization |
| Organization Name | MINNEAPOLIS VAMC |
| Other Organization Name | ELY VA CLINIC |
| Practice Address |
720 E Miners Dr Ely MN 55731-1400 |
| Mailing Address |
Po Box 94459 Cleveland OH 44101-4459 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Authorized Official Name | ERIN DENISE 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 |
|---|---|
| ELY VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639615149 | Minneapolis Vamc | Clinic/Center | 1961 Premier Drive, Mankato, MN 56001-6492 | 2017-01-09 |
| 1609283845 | Minneapolis Vamc | Clinic/Center | 1201 Harmon Pl, Suite 103, Minneapolis, MN 55403-2043 | 2014-07-21 |
| 1932529351 | Minneapolis Vamc | Clinic/Center | 1111 Shakopee Town Sq, Shakopee, MN 55379-1908 | 2014-04-24 |
| 1912206228 | Minneapolis Vamc | Clinic/Center | 7545 Civic Center Dr Nw, Ramsey, MN 55303-5196 | 2011-03-25 |
| 1235320912 | Minneapolis Vamc | Clinic/Center | 10369 State Highway 27, Hayward, WI 54843-9998 | 2007-08-07 |
| 1518905074 | Minneapolis Vamc | Clinic/Center | 1212 Heckman Ct, Saint James, MN 56081-8702 | 2006-06-04 |
| 1790723716 | Minneapolis Vamc | Clinic/Center | 3551 Commercial Dr Sw Ste 400, Rochester, MN 55902-2884 | 2006-06-03 |
| 1659328292 | Minneapolis Vamc | Clinic/Center | 1725 Legacy Parkway, Suite 100, Maplewood, MN 55109-5432 | 2006-05-28 |
| 1902851348 | Minneapolis Vamc | Clinic/Center | 990 W 41st St, Suite 5, Hibbing, MN 55746-3045 | 2006-05-24 |
| 1417902941 | Minneapolis Vamc | Clinic/Center | 475 Chippewa Mall Drive, Suite 418, Chippewa Falls, WI 54729-5047 | 2006-05-23 |
| Street Address |
720 E MINERS DR |
| City | ELY |
| State | MN |
| Zip Code | 55731-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720646110 | Bria Schurke | Physician Assistant | 1101 Ring Rock Rd, Ely, MN 55731 | 2019-05-31 |
| 1851738694 | Sonya Bland | Registered Nurse | 1701 Hwy 1, Ely, MN 55731 | 2013-06-03 |
| 1063513448 | Debra K Warner | Psychologist | 224 E Chapman, Rmhc Duluth Clinic, Ely, MN 55731 | 2006-09-26 |
| 1821107541 | Lars Lyle Roth | Chiropractor | 39 E Sheridan, Ely, MN 55731 | 2006-08-29 |
| 1801270798 | Nicholas Alexander Cooley | Family Medicine | 300 W Conan St, Ely, MN 55731 | 2015-07-10 |
| 1992943336 | Ely Family Dentistry | Dentist | 40 N 1st Ave E, Ely, MN 55731 | 2009-01-22 |
| 1417162207 | William J Scott Dds Pa | Dentist | 40 N 1st Ave E, Ely, MN 55731 | 2007-05-14 |
| 1902303670 | Scott Allen Hofstadter | Physical Therapy Assistant | 2160 Deer Ridge Rd, Ely, MN 55731-0593 | 2018-04-10 |
| 1477660777 | Boundary Waters Care Center | Skilled Nursing Facility | 200 W Conan St, Ely, MN 55731-1143 | 2006-08-23 |
| 1538503800 | Amanda Nierengarten | Occupational Therapist | 200 W Conan St, Ely, MN 55731-1143 | 2013-04-17 |
| Find all providers in zip 55731 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639615149 | Minneapolis Vamc | Clinic/Center | 1961 Premier Drive, Mankato, MN 56001-6492 | 2017-01-09 |
| 1609283845 | Minneapolis Vamc | Clinic/Center | 1201 Harmon Pl, Suite 103, Minneapolis, MN 55403-2043 | 2014-07-21 |
| 1932529351 | Minneapolis Vamc | Clinic/Center | 1111 Shakopee Town Sq, Shakopee, MN 55379-1908 | 2014-04-24 |
| 1912206228 | Minneapolis Vamc | Clinic/Center | 7545 Civic Center Dr Nw, Ramsey, MN 55303-5196 | 2011-03-25 |
| 1346437944 | Fargo Vamc | Clinic/Center | 1217 Anne St Nw, Bemidji, MN 56601-5113 | 2007-09-27 |
| 1518905074 | Minneapolis Vamc | Clinic/Center | 1212 Heckman Ct, Saint James, MN 56081-8702 | 2006-06-04 |
| 1790723716 | Minneapolis Vamc | Clinic/Center | 3551 Commercial Dr Sw Ste 400, Rochester, MN 55902-2884 | 2006-06-03 |
| 1659328292 | Minneapolis Vamc | Clinic/Center | 1725 Legacy Parkway, Suite 100, Maplewood, MN 55109-5432 | 2006-05-28 |
| 1902851348 | Minneapolis Vamc | Clinic/Center | 990 W 41st St, Suite 5, Hibbing, MN 55746-3045 | 2006-05-24 |
| 1407809478 | Fargo Vamc | Clinic/Center | 1821 N Park St, Fergus Falls Va Outpatient Clinic, Fergus Falls, MN 56537-1247 | 2006-05-18 |
| 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.