VA MEDICAL CENTER (NPI# 1255617056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255617056 |
Entity Type | Organization |
Organization Name | VA MEDICAL CENTER |
Practice Address |
2501 W 22nd St Sioux Falls SD 57105-1305 |
Practice Telephone | 6053363230 |
Mailing Telephone | 6053363230 |
Enumeration Date | 2011-10-25 |
Last Update Date | 2011-10-25 |
Authorized Official Name | MRS. TRACY R GRIBBLE (PHYSICAL THERAPIST ASSISTANT) |
Authorized Official Telephone | 6053363230 |
Authorized Official Credential | RPTA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 286500000X | Military Hospital | Hospitals |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245785179 | Va Medical Center | Military Hospital | 5939 Cedros Ave Apt A, Van Nuys, CA 91411-3104 | 2016-08-21 |
1104216332 | Va Medical Center | Military Hospital | 10707 W Interstate 10 Apt 436, San Antonio, TX 78230-1674 | 2015-01-26 |
1295178796 | Va Medical Center | Military Hospital | 16 Charles St, 3rd Floor, Lincoln, RI 02865-1906 | 2013-04-15 |
1487905311 | Va Medical Center | General Acute Care Hospital | 292 Sherwood Dr, Huntington, WV 25704-9460 | 2012-10-02 |
1033479316 | Va Medical Center | Chronic Disease Hospital | 500 Trinity Ln N Apt 5204, St Petersburg, FL 33716-1236 | 2012-05-21 |
1134495682 | Va Medical Center | General Acute Care Hospital | 5015 S Desoto Ct, New Berlin, WI 53151-7664 | 2012-03-29 |
1386952893 | Va Medical Center | General Acute Care Hospital | 6208 Krandon Drive, Raleigh, NC 27603-4928 | 2010-09-17 |
1093049520 | Va Medical Center | Military Hospital | 5416 Orange Valley Dr, Lakeland, FL 33813-2649 | 2009-09-30 |
1275784050 | Va Medical Center | Skilled Nursing Facility | 236 Pochin Pl, Hampton, VA 23661-2902 | 2008-10-10 |
1154587475 | Va Medical Center | General Acute Care Hospital | 4001 24th Ave W, Seattle, WA 98199-1505 | 2008-08-06 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | VA MEDICAL CENTER | 4101 Woolworth Ave, Omaha, NE 68105-1850 |
System for Award Management (SAM) Entities | VA MEDICAL CENTER 581/90C | 1540 Spring Valley Dr, Huntington, WV 25704-9300 |
Street Address |
2501 W 22ND ST |
City | SIOUX FALLS |
State | SD |
Zip Code | 57105-1305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306840111 | Douglas D. Tassi | Optometrist | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2005-06-09 |
1710598941 | Courtney Beth Younge | Pharmacist | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2020-08-12 |
1780292243 | Matthew Scott Wiemann | Pharmacist | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2020-07-21 |
1578195038 | Darcy Amanda Lowman-craig | Social Worker | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2020-02-12 |
1871137083 | Brandon David Hubert | Pharmacist | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2019-10-30 |
1366083529 | Janis Rae Lindstrom | Technician | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2019-09-30 |
1528629045 | Khia Ann Warzecha | Pharmacist | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2019-06-25 |
1053978445 | Stephani Ann Kringstad | Registered Nurse | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2019-05-21 |
1043874399 | Susan Morgan | Social Worker | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2019-04-23 |
1306306519 | Melissa Jane Suter | Social Worker | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2019-03-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
Find all providers in zip 57105 |
Taxonomy Code | 286500000X |
Grouping | Hospitals |
Classification | Military Hospital |
A health care facility operated by the Department of Defense. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750689261 | Department of Veterans Affairs | Military Hospital | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2011-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902145642 | Black Hills Va System | Military Hospital | 1051 State St, Scotland, SD 57059-2085 | 2013-01-31 |
City | SIOUX FALLS |
Zip Code | 57105 |
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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.