JAMES A LOVELL FEDERAL HEALTH CARE CENTER (NPI# 1144276064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144276064 |
Entity Type | Organization |
Organization Name | JAMES A LOVELL FEDERAL HEALTH CARE CENTER |
Other Organization Name | KENOSHA VA CBOC |
Practice Address |
8207 22nd Ave Kenosha WI 53143-6211 |
Mailing Address |
Po Box 5216 Madison WI 53705-0216 |
Practice Telephone | 6088217200 |
Mailing Telephone | 6088217200 |
Enumeration Date | 2006-05-25 |
Last Update Date | 2014-09-30 |
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 |
---|---|
Kenosha VA CBOC | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164730602 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois Street, Great Lakes, IL 60088 | 2010-09-17 |
1598073439 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 | 2010-09-14 |
1831406719 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 3440 Ohio St, Bldg 1017, Great Lakes, IL 60088-3155 | 2010-09-13 |
1790092674 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2630 Green Bay Rd, Bldg 3452, Great Lakes, IL 60088-3303 | 2010-09-13 |
1811934722 | James A Lovell Federal Health Care Center | Clinic/Center | 3715 Municipal Drive, Mchenry, IL 60050-5483 | 2006-05-31 |
1013962554 | James A Lovell Federal Health Care Center | Clinic/Center | 1942 Dempster St, Evanston, IL 60202-1016 | 2006-05-23 |
1538574777 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2410 Sampson St Bldg 237, Great Lakes, IL 60088-2942 | 2014-06-26 |
1376852152 | James A Lovell Federal Health Care Center | Clinic/Center | 3001 6th St Ste A, Great Lakes, IL 60088-2833 | 2010-09-28 |
1316254295 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2410 Sampson St, Bldg 237, Great Lakes, IL 60088-2942 | 2010-09-13 |
1710294681 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 3001 6th St Ste A, Bldg 200h Pharmacy, Great Lakes, IL 60088-2833 | 2010-09-13 |
Street Address |
8207 22ND AVE |
City | KENOSHA |
State | WI |
Zip Code | 53143-6211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821262684 | Children's Service Society of Wisconsin | Social Worker | 8207 22nd Ave, Suite 155, Kenosha, WI 53143-6211 | 2008-04-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891262275 | Shanda L Goecks | Registered Nurse | 6916 26th Ave, Kenosha, WI 53143 | 2018-10-24 |
1689942989 | Racine Kenosha Community Action Agency | Public Health or Welfare | 2000 63rd Street, Kenosha, WI 53143 | 2011-12-01 |
1538497797 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7525 Sheridan Rd, Kenosha, WI 53143 | 2009-11-30 |
1497929012 | Ebba M Johnson | Physical Therapist | 524 74th Street, Kenosha, WI 53143 | 2008-04-15 |
1770789489 | Kenosha Community Health Center, Inc | Family Medicine | 6226 14th Ave, Kenosha, WI 53143 | 2007-06-21 |
1558413161 | Junith M Thompson | Obstetrics & Gynecology | 6530 Sheridan Road, Kenosha, WI 53143 | 2007-01-17 |
1154471332 | Ljh Ambulance, Inc | Ambulance | 6329 28th Ave, Kenosha, WI 53143 | 2007-01-11 |
1578625794 | Michael A Schellpfeffer Md Ob Gyn Sc | Obstetrics & Gynecology | 1400 75th Street, Kenosha, WI 53143 | 2006-12-14 |
1457468654 | Yasmine S Sido | Physician Assistant | 7550 22nd Ave, Kenosha, WI 53143 | 2006-08-24 |
1356307359 | Nancy Jane Houtchens | Dentist | 7533 22nd Ave, Ste 100, Kenosha, WI 53143 | 2006-04-26 |
Find all providers in zip 53143 |
Taxonomy Code | 261QV0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | VA |
Definition to come... |
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1285005504 | Milwaukee Vamc | Clinic/Center | 1818 N Martin Luther King Dr, Milwaukee, WI 53212-3640 | 2015-10-13 |
1376988402 | Zablocki Va Medical Center | Clinic/Center | 5922 Bluff Ledge Rd, Sturgeon Bay, WI 54235-8148 | 2013-05-02 |
1235320912 | Minneapolis Vamc | Clinic/Center | 10369 State Highway 27, Hayward, WI 54843-9998 | 2007-08-07 |
1881634616 | Tomah Vamc | Clinic/Center | 700 Hale St, Wisconsin Rapids, WI 54495-2787 | 2006-06-08 |
1275573677 | Tomah Vamc | Clinic/Center | 515 S 32nd Ave, Wausau, WI 54401-4074 | 2006-06-07 |
1902853567 | Tomah Vamc | Clinic/Center | 8 Johnson St, Owen, WI 54460-9534 | 2006-05-28 |
1104873298 | Tomah Vamc | Clinic/Center | 4000 State Road 16, La Crosse, WI 54601-1809 | 2006-05-27 |
1124074810 | Madison Vamc | Clinic/Center | 1141 Black Bridge Rd, Janesville, WI 53545-1092 | 2006-05-25 |
1003861014 | Milwaukee Vamc | Clinic/Center | 2851 University Avenue, Green Bay, WI 54311-0008 | 2006-05-24 |
1417902941 | Minneapolis Vamc | Clinic/Center | 475 Chippewa Mall Drive, Suite 418, Chippewa Falls, WI 54729-5047 | 2006-05-23 |
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.