DANVILLE VAMC (NPI# 1235177973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235177973 |
| Entity Type | Organization |
| Organization Name | DANVILLE VAMC |
| Other Organization Name | SPRINGFIELD VA CBOC |
| Practice Address |
5850 S 6th Street Rd Frontage Road East - Suite A Springfield IL 62703-5162 |
| Mailing Address |
Po Box 5088 Madison WI 53705-0088 |
| Practice Telephone | 6088217200 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2006-06-03 |
| 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 |
|---|---|
| Springfield 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 |
| 1134163736 | Danville Vamc | Clinic/Center | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2006-06-15 |
| 1427098243 | Danville Vamc | Clinic/Center | 3851 N River Rd, West Lafayette, IN 47906-3762 | 2006-06-08 |
| 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 |
5850 S 6TH STREET RD FRONTAGE ROAD EAST - SUITE A |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703-5162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497725345 | Basanti Mukerji | Internal Medicine | 5850 S 6th Street Rd, Springfield, IL 62703-5162 | 2006-01-24 |
| 1255303830 | Kelly Larosa | Social Worker | 5850 S 6th Street Rd, A, Springfield, IL 62703-5162 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
| 1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
| 1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
| Find all providers in zip 62703 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902845316 | Dayton Vamc | Clinic/Center | 1620 N Limestone St, Springfield, OH 45503-2624 | 2006-06-05 |
| 1497098800 | Tram Thi Bui | Clinic/Center | 6501 Loisdale Ct, Springfield, VA 22150-1826 | 2013-04-03 |
| 1679626949 | Northampton Vamc | Clinic/Center | 25 Bond St, Springfield, MA 01104-3401 | 2007-01-19 |
| 1821015264 | Benjamin Adewale Md PC | Clinic/Center | 7011 Calamo St, #105, Springfield, VA 22150 | 2006-07-15 |
| 1982642823 | Northampton Vamc | Clinic/Center | 25 Bond St, Springfield, MA 01104-3401 | 2006-06-03 |
| 1417900671 | Fayetteville Vamc | Clinic/Center | 1850 W Republic Rd, Springfield, MO 65807-5730 | 2006-05-18 |
| 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 | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
Please comment or provide details below to improve the information on DANVILLE VAMC.
| 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.