SALEM VAMC (NPI# 1124067012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124067012 |
| Entity Type | Organization |
| Organization Name | SALEM VAMC |
| Other Organization Name | TAZEWELL VA CLINIC |
| Practice Address |
388 Ben Bolt Ave Tazewell VA 24651 |
| Mailing Address |
Po Box 89457 Cleveland OH 44101-6457 |
| Practice Telephone | 8282573777 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2018-07-18 |
| 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 |
|---|---|
| TAZEWELL VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245283878 | Salem Vamc | Clinic/Center | 705 Piney Forest Rd, Danville, VA 24540-2860 | 2006-05-17 |
| 1982986006 | Salem Vamc | Clinic/Center | 102 Lacy B King Way, Staunton, VA 24401-4594 | 2011-09-14 |
| 1154626125 | Salem Vamc | Clinic/Center | 165 Peppers Ferry Rd, Wytheville, VA 24382-2363 | 2011-01-21 |
| 1851554232 | Salem Vamc | Clinic/Center | 1600 Lakeside Dr, Lynchburg, VA 24501-3116 | 2008-07-07 |
| 1841242377 | Salem Vamc | General Acute Care Hospital | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2006-05-16 |
| 1033177597 | Salem Vamc | Department of Veterans Affairs (VA) Pharmacy | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2006-05-03 |
| Street Address |
388 BEN BOLT AVE |
| City | TAZEWELL |
| State | VA |
| Zip Code | 24651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952382426 | Ladonna Lee Osborne | Nurse Practitioner | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2005-11-10 |
| 1437776556 | Carilion Giles Community Hospital | Clinic/Center | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2020-07-06 |
| 1861017782 | Carilion Medical Center | Clinic/Center | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2020-06-16 |
| 1780228528 | Emily Mcclanahan | Family Medicine | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2019-11-05 |
| 1962060889 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2019-06-05 |
| 1851954622 | Jasmine Dawn Clevinger | Pharmacist | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2019-04-17 |
| 1053870584 | Solstas Lab Partners Group LLC | Clinical Medical Laboratory | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2019-03-14 |
| 1942632245 | Tristen Amber Pack | Physician Assistant | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2013-08-08 |
| 1235573478 | Denny Ray Goss II | Emergency Medicine | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2013-04-18 |
| 1144536509 | Rebekah P Peery | Nurse Practitioner | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2010-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043663727 | Erich Lutz | Dentist | 215 Central Ave., Tazewell, VA 24651 | 2016-07-19 |
| 1467884114 | Kristie L Stevenson | Speech-Language Pathologist | 982 Benbolt Ave, Tazewll, VA 24651 | 2013-08-05 |
| 1033550355 | Family Preservation Services, Inc | Community/Behavioral Health | 1604 Pisgah Road, Tazewell, VA 24651 | 2013-07-15 |
| 1205056678 | Family Preservation Services, Inc | Community/Behavioral Health | 819 Tazewell Ave, Tazewell, VA 24651 | 2007-04-27 |
| 1083745053 | Southwest Virginia Community Health Systems Inc | Clinic/Center | 386 Ben Bolt Avenue, Tazewell, VA 24651 | 2007-03-08 |
| 1730242298 | Clinch Valley Pharmacy | Pharmacy | 1000 Ben Bolt Avenue, Tazewell, VA 24651 | 2006-12-18 |
| 1871609792 | Ronald Wayne Householder | Dentist | 316 Ben Bolt Avenue, Tazewell, VA 24651 | 2006-08-22 |
| 1720008485 | Eduardo Torrefranca Tolosa | Family Medicine | 984 Benbolt Avenue, Tazewell, VA 24651 | 2006-07-19 |
| 1619995933 | Rodney Ralston Abrahams I | Dentist | 204 Campbell Ln, Tazewell, VA 24651 | 2006-07-17 |
| 1922048834 | Robert S Rambo | Counselor | 526 W Main St, Tazewell, VA 24651 | 2006-06-08 |
| Find all providers in zip 24651 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730698 | Richmond Vamc | Clinic/Center | 7702 E Parham Rd Ste 201, Richmond, VA 23294-4372 | 2020-11-03 |
| 1629448469 | Hampton Vamc | Clinic/Center | 1987 S Military Hwy, Chesapeake, VA 23320-4422 | 2015-10-06 |
| 1609250455 | Safe Hands Home Health Care LLC | Clinic/Center | 116 Nancy Dr Apt W1, Suffolk, VA 23434-4894 | 2015-07-11 |
| 1316335680 | Mountain Home Vamc | Clinic/Center | 32613 Wilderness Road, Suite 101, Jonesville, VA 24263-9998 | 2015-01-08 |
| 1497143531 | Mountain Home Vamc | Clinic/Center | 4451 Lee Highway, Marion, VA 24354-9998 | 2014-12-23 |
| 1306234448 | Mountain Home Vamc | Clinic/Center | 1941 Lover's Gap Lane, Suite A, Vansant, VA 24656-9998 | 2014-12-23 |
| 1114292737 | Eyecare Center Corp | Clinic/Center | 4229 Jefferson Oaks Cir, K, Fairfax, VA 22033-4071 | 2012-03-14 |
| 1427353614 | Ardis Dentistry | Clinic/Center | 1445 Johnston Willis Drive, Suite A, Cjw Medical Center, Richmond, VA 23235-4885 | 2011-01-19 |
| 1124337258 | Danny J. Minor, D.c.,p.c. | Clinic/Center | 936 Park Ave Nw, Norton, VA 24273-1821 | 2010-10-07 |
| 1598072902 | Richmond Vamc | Clinic/Center | 1746 E Atlantic St, Emporia, VA 23847-6584 | 2010-09-07 |
| 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.