PHOENIX VAMC (NPI# 1215974696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215974696 |
| Entity Type | Organization |
| Organization Name | PHOENIX VAMC |
| Other Organization Name | PAYSON VA CBOC |
| Practice Address |
903 E Highway 260 Suite 2 Payson AZ 85531-4972 |
| Mailing Address |
Po Box 94413 Cleveland OH 44101-4413 |
| Practice Telephone | 7023413152 |
| Mailing Telephone | 7023413152 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2017-11-01 |
| NPI Deactivation Date | 06/03/2008 |
| NPI Reactivation Date | 2008-07-15 |
| 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 |
|---|---|
| Payson VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619352077 | Phoenix Vamc | Clinic/Center | 1500 East Thomas Road, Suite 106, Phoenix, AZ 85014-5748 | 2015-07-28 |
| 1265785364 | Phoenix Vamc | Clinic/Center | 11390 East Via Linda Road, Suite 105, Scottsdale, AZ 85259-4075 | 2012-10-26 |
| 1033345624 | Phoenix Vamc | Clinic/Center | 9424 N 25th Ave, Phoenix, AZ 85021-2714 | 2009-06-09 |
| 1437197902 | Phoenix Vamc | Clinic/Center | 3285 S Val Vista Dr, Gilbert, AZ 85297-7000 | 2006-06-04 |
| 1205874351 | Phoenix Vamc | Clinic/Center | 2450 E Show Low Lake Rd, Suite 1, Show Low, AZ 85901-7953 | 2006-06-02 |
| 1629582184 | Phoenix Vamc | Clinic/Center | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2017-11-20 |
| 1174065791 | Phoenix Vamc | Clinic/Center | 5040 N 15th Ave, Phoenix, AZ 85015-3328 | 2016-11-14 |
| 1104286418 | Phoenix Vamc | Psychiatric Residential Treatment Facility | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2016-02-29 |
| 1053586545 | Phoenix Vamc | Clinic/Center | 5860 S Hospital Dr, Suite 111, Globe, AZ 85501-9449 | 2008-04-25 |
| 1598704512 | Phoenix Vamc | Clinic/Center | 13985 W Grand Ave, Suite 101, Surprise, AZ 85374-3625 | 2006-06-05 |
| Street Address |
903 E HIGHWAY 260 SUITE 2 |
| City | PAYSON |
| State | AZ |
| Zip Code | 85531-4972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336549443 | Akdhc, LLC | Internal Medicine | 903 E Highway 260, Suite 2, Payson, AZ 85541 | 2014-08-26 |
| 1003199290 | M & K Health Services | Family Medicine | 903 E Highway 260, Suite 2, Payson, AZ 85541 | 2011-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699266635 | Mark Evan Cameron | Nurse Practitioner | 2900 N 45th Ave, 832 In Thatcher Az 85552, Central, AZ 85531 | 2018-05-25 |
| 1548781578 | Rebeka Camille Martindell | Occupational Therapist | 5812 W Central Rd, Central, AZ 85531 | 2017-06-29 |
| 1073731345 | Lynette Smith | Registered Nurse | 5310 Norton Rd, Central, AZ 85531-0098 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386257764 | Katie Lee Higgs | Marriage & Family Therapist | 1172 E State, W 100 N Suite 10, Payson, UTAH, UNITED STATES 84655 | 2020-08-26 |
| 1083226369 | Advanced Wound Care | Internal Medicine | 871 S 500 W, Payson, UT 84651-3201 | 2020-08-19 |
| 1932717550 | Regenthetics, LLC | Clinic/Center | 903 E State Highway 260 Ste 4, Payson, AZ 85541-4972 | 2020-07-20 |
| 1992321723 | Ponderosa Family Care, LLC | Clinic/Center | 127 E Main St Ste D, Payson, AZ 85541-5646 | 2020-06-17 |
| 1720609167 | Twilight Health, LLC | Home Health | 805 S 500 W Ste 6, Payson, UT 84651-3205 | 2020-04-27 |
| 1548894322 | Payson Rx Express LLC | Pharmacy | 869 Turf Farm Rd, Payson, UT 84651-5709 | 2020-03-02 |
| 1093347684 | Debra Jean Hooper | Massage Therapist | 815 E St Hwy 260, Payson, AZ 85541-4940 | 2020-02-11 |
| 1184255739 | Christy Dugan | Nurse Practitioner | 101 W Pinecone Cir, Payson, AZ 85541-3740 | 2020-02-03 |
| 1851922512 | Mettamerica | Psychiatry & Neurology | 600 E State Highway 260 Ste 2, Payson, AZ 85541-4967 | 2020-01-31 |
| 1730727702 | Justin Sheets | Behavior Technician | 1392 West Turf Farm Way Suite 1-153, Payson, UT 84651-5587 | 2019-12-20 |
| Find all providers in PAYSON | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013457704 | Tucson Vamc | Clinic/Center | 1179 E Cottonwood Lane, Suite 1, Casa Grande, AZ 85122-2969 | 2017-03-01 |
| 1104366897 | Tucson Vamc | Clinic/Center | 157 North Coronado Drive, Suite B, Sierra Vista, AZ 85635-6361 | 2017-03-01 |
| 1619352077 | Phoenix Vamc | Clinic/Center | 1500 East Thomas Road, Suite 106, Phoenix, AZ 85014-5748 | 2015-07-28 |
| 1558759837 | Prescott Vamc | Clinic/Center | 33 West Vista Drive, Holbrook, AZ 86025-1844 | 2015-01-08 |
| 1356739650 | Prescott Vamc | Clinic/Center | 801 North Navajo Drive, Suite B, Page, AZ 86040-9998 | 2015-01-08 |
| 1265785364 | Phoenix Vamc | Clinic/Center | 11390 East Via Linda Road, Suite 105, Scottsdale, AZ 85259-4075 | 2012-10-26 |
| 1033345624 | Phoenix Vamc | Clinic/Center | 9424 N 25th Ave, Phoenix, AZ 85021-2714 | 2009-06-09 |
| 1811176530 | Cthvamc | Clinic/Center | 239 W Utopia Rd, Phoenix, AZ 85027-4738 | 2007-10-30 |
| 1952345076 | Prescott Vamc | Clinic/Center | 1300 W University Ave, #200, Flagstaff, AZ 86001-7214 | 2006-06-16 |
| 1235173931 | Tucson Vamc | Clinic/Center | 101 N Coronado Dr Ste A, Building 45006, Sierra Vista, AZ 85635-6359 | 2006-06-15 |
| 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.