MONTANA VAMC (NPI# 1154711018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154711018 |
| Entity Type | Organization |
| Organization Name | MONTANA VAMC |
| Other Organization Name | MILES CITY VAMC PHARMACY |
| Practice Address |
210 S Winchester Ave Miles City MT 59301-4757 |
| Mailing Address |
Po Box 94451 Cleveland OH 44101-4451 |
| Practice Telephone | 4068745859 |
| Practice Fax Number | 4068745866 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2019-06-27 |
| Authorized Official Name | ERIN D POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332100000X | Department of Veterans Affairs (VA) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 2784076 | 01 |
| Other Name | Type Code |
|---|---|
| MILES CITY VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346870714 | Montana Vamc | Clinic/Center | 5535 Haul Road, Suite 12, Browning, MT 59417-9998 | 2020-01-24 |
| 1801271127 | Montana Vamc | Clinic/Center | 2271 Deerfield Lane, Helena, MT 59601-9998 | 2015-07-28 |
| 1518355817 | Montana Vamc | Clinic/Center | 440 West Laurel Avenue, Plentywood, MT 59254-1526 | 2015-01-08 |
| 1053728014 | Montana Vamc | Skilled Nursing Facility | 210 South Winchester, Miles City, MT 59301-4757 | 2014-07-22 |
| 1487831392 | Montana Vamc | Clinic/Center | 8 2nd Ave Ne, Cut Bank, MT 59427-2909 | 2008-01-23 |
| 1386682433 | Montana Vamc | Clinic/Center | 2000 Montana Ave, Glendive, MT 59330-3700 | 2006-06-02 |
| 1376599787 | Montana Vamc | Clinic/Center | 31 Three Mile Drive, Kalispell, MT 59901-3099 | 2006-05-26 |
| 1518912120 | Montana Vamc | Clinic/Center | 1400 29th St S Ste 1, Great Falls, MT 59405-5315 | 2006-05-23 |
| 1285688770 | Montana Vamc | Clinic/Center | 630 2nd Avenue South, Suite A, Glasgow, MT 59230-2304 | 2006-05-20 |
| 1639122823 | Montana Vamc | Clinic/Center | 1766 Majestic Ln, Billings, MT 59102-6759 | 2006-05-18 |
| Street Address |
210 S WINCHESTER AVE |
| City | MILES CITY |
| State | MT |
| Zip Code | 59301-4757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568449411 | Patricia June Pezzarossi | Pediatrics | 210 S Winchester Ave, 136, Miles City, MT 59301-4742 | 2005-12-30 |
| 1821576760 | Alexandra Renee Loudermilk | Nurse Practitioner | 210 S Winchester Ave, Miles City, MT 59301 | 2018-08-02 |
| 1013401504 | Nancy Wimmer | Dental Hygienist | 210 S Winchester Ave, Miles City, MT 59301-4757 | 2018-06-18 |
| 1922519131 | Kate Adele Marsh | Nurse Practitioner | 210 S Winchester Ave, Miles City, MT 59301-4757 | 2017-10-14 |
| 1578955597 | Nikki Erlenbusch | Nurse Practitioner | 210 S Winchester Ave, Miles City, MT 59301-4757 | 2015-02-27 |
| 1982009858 | Onehealth Public Health | Clinic/Center | 210 S Winchester Ave, Suite 136, Miles City, MT 59301-4757 | 2014-11-04 |
| 1699199224 | Nichole Benton | Registered Nurse | 210 S Winchester Ave, Miles City, MT 59301-4757 | 2014-02-18 |
| 1770745655 | Penny Ann Wickenberg | Social Worker | 210 S Winchester Ave, Miles City, MT 59301-4757 | 2008-07-01 |
| 1578732707 | Va Montana Healthcare System | Military Hospital | 210 S Winchester Ave, Miles City, MT 59301-4757 | 2008-02-21 |
| 1669677209 | Karen Krausz | Registered Nurse | 210 S Winchester Ave, Miles City, MT 59301-4742 | 2007-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475011 | Pendelton House Assisted Living | Assisted Living Facility | 220 N Ceneter Ave, Miles City, MT 59301 | 2019-03-08 |
| 1124536453 | Dialysis Clinic Inc | Clinic/Center | 2708 Main Street, #4, Miles City, MT 59301 | 2018-01-22 |
| 1356760953 | Jessica Carter | General Acute Care Hospital | 2600 Wilson St, Miles City, MT 59301 | 2014-04-10 |
| 1164844833 | Yerger Family Dental, PC | Dentist | 2904 Mallet Ln, Miles City, MT 59301 | 2014-01-14 |
| 1679812937 | Peterson Psychological Services, Inc | Psychologist | 18 N. 8th St, Miles City, MT 59301 | 2013-02-06 |
| 1528208832 | Anita Roseann Leinen | Counselor | 2508 Wilson Sreet, Miles City, MT 59301 | 2009-02-26 |
| 1902074966 | Wagner Chiropractic, Pllc | Chiropractor | 213 N Haynes, Miles City, MT 59301 | 2008-02-13 |
| 1245355684 | Southeast Optical Inc | Technician/Technologist | 2000 Clark Street, Miles City, MT 59301 | 2007-03-21 |
| 1992835524 | Big Country Educational Cooperative | Local Education Agency (LEA) | 206 Kenwood, Miles City, MT 59301 | 2007-03-06 |
| 1629107453 | Dee Ann Mclellan-sams | Counselor | 2705 Main St, Choices-compassionate Care Counseling Center, Miles City, MT 59301 | 2007-03-05 |
| Find all providers in zip 59301 | ||||
| Taxonomy Code | 332100000X |
| Grouping | Suppliers |
| Classification | Department of Veterans Affairs (VA) Pharmacy |
| Department of Veterans Affairs (VA) Pharmacy means any place under VA jurisdiction where drugs are dispensed and Pharmaceutical Care is provided to enrolled Veterans, by licensed pharmacists. The Pharmacy is reviewed by JCAHO, utilizes the VA hospital’s DEA number, and has a designated NCPDP number. VA facility pharmacies include Inpatient (Institutional), Outpatient, Consolidated Mail Outpatient Pharmacies (CMOPs), Research, Addiction Treatment Centers, Long Term Care and Community Based Outpatient Clinics Pharmacies. The VHA Pharmacy Benefits Management - Strategic Healthcare Group has oversight for professional and practice activities of VA Pharmacies. Each pharmacy is under the direct supervision of a U.S. or U.S. territory licensed pharmacist, and has staffing to meet its designated scope of service. |
| Notes: Source: Pharmacy Benefits Management – Strategic Healthcare Group, Veterans Health Administration, Department of Veterans Affairs [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497703409 | Montana Vamc | Department of Veterans Affairs (VA) Pharmacy | 400 Veterans Drive, Columbia Falls, MT 59912 | 2006-05-04 |
| 1568410595 | Montana Vamc | Department of Veterans Affairs (VA) Pharmacy | 1775 Spring Creek Dr, Billings, MT 59102-6754 | 2006-05-04 |
| 1538117593 | Montana Vamc | Department of Veterans Affairs (VA) Pharmacy | 3687 Veterans Dr, Fort Harrison, MT 59636-9703 | 2006-05-04 |
| City | MILES CITY |
| Zip Code | 59301 |
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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.