ALEXANDRIA VAMC (NPI# 1093761462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093761462 |
| Entity Type | Organization |
| Organization Name | ALEXANDRIA VAMC |
| Other Organization Name | JENNINGS VA CBOC |
| Practice Address |
1907 Johnson St Jennings LA 70546-3627 |
| Mailing Address |
Po Box 94491 Cleveland OH 44101 |
| Practice Telephone | 6153553451 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2017-08-31 |
| 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 |
|---|---|
| Jennings VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811355779 | Alexandria Vamc | Clinic/Center | 3601 Gerstner Memorial Drive, Hwy 14, Lake Charles, LA 70607-9998 | 2016-02-08 |
| 1275589137 | Alexandria Vamc | Clinic/Center | 3149 Ambassador Caffery Parkway, Lafayette, LA 70506-7209 | 2006-05-25 |
| 1922066968 | Alexandria Vamc | Department of Veterans Affairs (VA) Pharmacy | 2495 Shreveport Hwy, 71 North, Pineville, LA 71360-4044 | 2006-05-01 |
| 1366896714 | Alexandria Vamc | Clinic/Center | 309 Saint Julien Ave, Suite 201, Lafayette, LA 70506-4655 | 2016-04-21 |
| 1245513506 | Alexandria Vamc | Clinic/Center | 3353 University Pkwy, Leesville, LA 71446-9041 | 2011-09-23 |
| 1871809715 | Alexandria Vamc | Clinic/Center | 740 Keyser Ave, Natchitoches, LA 71457-6037 | 2010-08-30 |
| 1992754055 | Alexandria Vamc | General Acute Care Hospital | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2006-05-08 |
| Street Address |
1907 JOHNSON ST |
| City | JENNINGS |
| State | LA |
| Zip Code | 70546-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902439664 | Joseph Daniel Salande | Psychologist | 1907 Johnson St, Jennings, LA 70546-3627 | 2020-02-20 |
| 1871145276 | Anita Lynn Lane | Counselor | 1907 Johnson St, Jennings, LA 70546-3627 | 2019-07-15 |
| 1366923781 | Chasity Borel | Social Worker | 1907 Johnson St, Jennings, LA 70546-3627 | 2018-08-23 |
| 1992013056 | Michael John Dugas | Social Worker | 1907 Johnson St, Jennings, LA 70546-3627 | 2010-09-22 |
| 1366638108 | Joan Ellen Fullilove | Social Worker | 1907 Johnson St, Jennings, LA 70546-3627 | 2007-09-14 |
| 1912080920 | Martha S Hoag | Internal Medicine | 1907 Johnson St, Jennings, LA 70546-3627 | 2006-10-23 |
| 1750399093 | Carla M Clark | Social Worker | 1907 Johnson St, Jennings, LA 70546-3627 | 2006-08-03 |
| 1134149586 | Robin Genean Chapman | Social Worker | 1907 Johnson St, Jennings, LA 70546-3627 | 2006-07-20 |
| 1316973183 | Kimberly Ann Burgess | Pharmacist | 1907 Johnson St, Jennings, LA 70546-3627 | 2006-06-24 |
| 1548205578 | James R Simon | Internal Medicine | 1907 Johnson St, Jennings, LA 70546-3627 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374593 | Skye Ringuet | Assistant Behavior Analyst | 611 North State St., Jennings, LA 70546 | 2020-01-03 |
| 1588120612 | Southern Home Care Services, Inc | Technician | 233 N. Main St., Jennings, LA 70546 | 2019-02-13 |
| 1902399249 | Calcasieu Urgent Care LLC | Clinic/Center | 1750 Elton Rd, Jennings, LA 70546 | 2018-06-12 |
| 1407308489 | Jefferson Davis Parish Council On Aging | Non-emergency Medical Transport (VAN) | 210 South State Street, Jennings, LA 70546 | 2016-10-26 |
| 1275906372 | Elizabeth Marie Ogea | Counselor | 203 E Academy Ave, Jennings, LA 70546 | 2015-11-11 |
| 1225401706 | Taylor Farris | Counselor | 1615 Johnston Street, Suite C, Jennings, LA 70546 | 2015-11-05 |
| 1134595622 | Karen Lynn Golla | Nurse Practitioner | 422 Kade Dr Ste 1, Jennings, LA 70546 | 2015-08-19 |
| 1326301615 | Lisa Turner | Registered Nurse | 403 Baker Street, Jennings, LA 70546 | 2012-06-21 |
| 1790057149 | Cenikor Foundation | Counselor | 222 E Academy, Suite A, Jennings, LA 70546 | 2012-02-01 |
| 1821328642 | Eric P Lambousy | Physical Therapist | 1322 Elton Road, Suite I, Jennings, LA 70546 | 2009-12-29 |
| Find all providers in zip 70546 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811355779 | Alexandria Vamc | Clinic/Center | 3601 Gerstner Memorial Drive, Hwy 14, Lake Charles, LA 70607-9998 | 2016-02-08 |
| 1104294693 | Va North Texas Health Care System | Clinic/Center | 3809 Transcontinental Dr, Metairie, LA 70006-2639 | 2015-09-14 |
| 1760535058 | New Orleans Vamc | Clinic/Center | 4004 W Airline Hwy, Reserve, LA 70084-5712 | 2007-01-19 |
| 1457396095 | Southeast Louisiana Veterans Health Care System | Clinic/Center | 1101 S Morrison Blvd, Hammond, LA 70403-5409 | 2006-06-18 |
| 1649218090 | Shreveport Vamc | Clinic/Center | 1691 Bienville Dr, Monroe, LA 71201-3756 | 2006-06-04 |
| 1245286277 | New Orleans Vamc | Clinic/Center | 6433 W Park Ave, Suite 107, Houma, LA 70364-2238 | 2006-05-25 |
| 1275589137 | Alexandria Vamc | Clinic/Center | 3149 Ambassador Caffery Parkway, Lafayette, LA 70506-7209 | 2006-05-25 |
| 1225696610 | Caring Hands LLC | Clinic/Center | 134 Arlington Dr, Lake Charles, LA 70605-5702 | 2019-05-31 |
| 1366896714 | Alexandria Vamc | Clinic/Center | 309 Saint Julien Ave, Suite 201, Lafayette, LA 70506-4655 | 2016-04-21 |
| 1134517493 | New Orleans Vamc | Clinic/Center | 7850 Anselmo Ln, Baton Rouge, LA 70810-1101 | 2015-01-08 |
| 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.