DANVILLE VAMC (NPI# 1134163736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134163736 |
| Entity Type | Organization |
| Organization Name | DANVILLE VAMC |
| Other Organization Name | PEORIA VA CBOC |
| Practice Address |
7717 N Orange Prairie Rd Peoria IL 61615-9323 |
| Mailing Address |
Po Box 5088 Madison WI 53705-0088 |
| Practice Telephone | 6088217200 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2015-08-24 |
| 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 |
|---|---|
| Peoria VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426709 | Danville Vamc | Clinic/Center | 207 E Hamilton Rd, Bloomington, IL 61704-7527 | 2019-09-19 |
| 1124071881 | Danville Vamc | Clinic/Center | 792 N Sunnyside Rd, Decatur, IL 62522-1156 | 2006-05-17 |
| 1861725699 | Danville Vamc | Clinic/Center | 501 Lake Land Blvd, Mattoon, IL 61938 | 2009-09-11 |
| 1427098243 | Danville Vamc | Clinic/Center | 3851 N River Rd, West Lafayette, IN 47906-3762 | 2006-06-08 |
| 1235177973 | Danville Vamc | Clinic/Center | 5850 S 6th Street Rd, Frontage Road East - Suite A, Springfield, IL 62703-5162 | 2006-06-03 |
| 1326097163 | Danville Vamc | General Acute Care Hospital | 1900 E Main St, Danville, IL 61832-5100 | 2006-05-09 |
| 1336197284 | Danville Vamc | Department of Veterans Affairs (VA) Pharmacy | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2006-05-04 |
| 1508824418 | Danville Vamc | Department of Veterans Affairs (VA) Pharmacy | 1900 E Main St, Danville, IL 61832-5100 | 2006-05-02 |
| Street Address |
7717 N ORANGE PRAIRIE RD |
| City | PEORIA |
| State | IL |
| Zip Code | 61615-9323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578520839 | Suzanne Brasche | Social Worker | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2006-04-28 |
| 1467075101 | Kirsten Hall | Social Worker | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2020-05-27 |
| 1003437526 | Ginger Renee Hughes Garner | Social Worker | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2020-05-06 |
| 1134680234 | Sydney Jacquelyn Smith | Social Worker | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2019-03-29 |
| 1588131304 | Miranda Myers | Social Worker | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2018-10-30 |
| 1861975773 | Andrea Joy Eertmoed | Dietitian, Registered | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2018-09-07 |
| 1861992851 | Heidi Johnson | Registered Nurse | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2018-02-15 |
| 1831605898 | Jason Lee Fechter | Social Worker | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2017-12-28 |
| 1790206365 | Holly Catherine Bourgeois | Pharmacist | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2017-07-04 |
| 1790238624 | Kyle Foskett | Psychologist | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2016-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| Find all providers in zip 61615 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426709 | Danville Vamc | Clinic/Center | 207 E Hamilton Rd, Bloomington, IL 61704-7527 | 2019-09-19 |
| 1437636966 | Miracle Healthcare LLC | Clinic/Center | 2024 Hickory Rd Ste 306, Homewood, IL 60430 | 2018-07-26 |
| 1558751776 | St. Louis Jc Vamc | Clinic/Center | 3403 Heartland Street, Marion, IL 62959-6393 | 2015-01-26 |
| 1669860458 | Chicago Vamc | Clinic/Center | 1141 South California Avenue, Chicago, IL 60608-9998 | 2014-12-31 |
| 1992067995 | St. Louis Jc Vamc | Clinic/Center | 1130 E Walnut St, Suite 100, Carbondale, IL 62901-5007 | 2012-06-14 |
| 1497012652 | St. Louis Jc Vamc | Clinic/Center | 608 Rollie Moore Drive, Harrisburg, IL 62946-9998 | 2012-04-12 |
| 1851660724 | Omaha Vamc | Clinic/Center | 406 Avenue C, Sterling, IL 61081-3407 | 2011-12-22 |
| 1902840622 | St. Louis Jc Vamc | Clinic/Center | 4105 N Water Tower Pl, Mount Vernon, IL 62864-6296 | 2006-06-15 |
| 1629016845 | Omaha Vamc | Clinic/Center | 6020 Broadway St, Quincy, IL 62305-7919 | 2006-06-02 |
| 1902843360 | Oak Park Va Clinic | Clinic/Center | 149 S Oak Park Ave, Oak Park, IL 60302-2901 | 2006-06-02 |
| 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.