MOUNTAIN HOME VAMC (NPI# 1285046722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285046722 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN HOME VAMC |
| Other Organization Name | LAFOLLETTE VA CBOC |
| Practice Address |
130 Independence Ln La Follette TN 37766-3031 |
| Mailing Address |
Po Box 94516 Cleveland OH 44101 |
| Practice Telephone | 6153553451 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2017-09-07 |
| 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 |
|---|---|
| LAFOLLETTE VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922544394 | Mountain Home Vamc | Clinic/Center | 1521 Downtown West Blvd, Knoxville, TN 37919-5407 | 2017-01-10 |
| 1316335680 | Mountain Home Vamc | Clinic/Center | 32613 Wilderness Road, Suite 101, Jonesville, VA 24263-9998 | 2015-01-08 |
| 1497143531 | Mountain Home Vamc | Clinic/Center | 4451 Lee Highway, Marion, VA 24354-9998 | 2014-12-23 |
| 1306234448 | Mountain Home Vamc | Clinic/Center | 1941 Lover's Gap Lane, Suite A, Vansant, VA 24656-9998 | 2014-12-23 |
| 1639342231 | Mountain Home Vamc | Clinic/Center | 925 E Morris Blvd, Morristown, TN 37813-2499 | 2008-04-04 |
| 1700824646 | Mountain Home Vamc | Clinic/Center | 401 Scenic Dr, Rogersville, TN 37857-2452 | 2006-06-03 |
| 1841237385 | Mountain Home Vamc | Clinic/Center | 654 Highway 58 E, Norton, VA 24273-3002 | 2006-06-01 |
| 1831148253 | Mountain Home Vamc | General Acute Care Hospital | Sidney and Lamont Streets, Mountain Home, TN 37684-4000 | 2006-05-10 |
| 1548218266 | Mountain Home Vamc | Department of Veterans Affairs (VA) Pharmacy | 1141 Cold Springs Rd, Mountain City, TN 37683-4032 | 2006-05-05 |
| 1982236907 | Mountain Home Vamc | Clinic/Center | 500 Washington Ave, Johnson City, TN 37604-5518 | 2020-02-07 |
| Street Address |
130 INDEPENDENCE LN |
| City | LA FOLLETTE |
| State | TN |
| Zip Code | 37766-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528062197 | John S Burrell | General Practice | 130 Independence Ln, La Follette, TN 37766-3031 | 2005-06-10 |
| 1871113779 | Amy Palmer | Nurse Practitioner | 130 Independence Ln, La Follette, TN 37766-3073 | 2020-04-21 |
| 1326517947 | Debra Bowling | Nurse Practitioner | 130 Independence Ln, La Follette, TN 37766-3073 | 2018-11-14 |
| 1215439203 | William Evan Wilson I | Nurse Practitioner | 130 Independence Ln, La Follette, TN 37766-3073 | 2018-03-06 |
| 1598288425 | Mary Emily Tamer | Physician Assistant | 130 Independence Ln, La Follette, TN 37766-3073 | 2017-07-23 |
| 1932581667 | Deborah Lynn Russell | Nurse Practitioner | 130 Independence Ln, La Follette, TN 37766-3073 | 2015-06-18 |
| 1083004584 | Andrew Follett | Counselor | 130 Independence Ln, La Follette, TN 37766-3073 | 2015-02-04 |
| 1639580772 | Hilda Newby | Registered Nurse | 130 Independence Ln, La Follette, TN 37766-3073 | 2014-05-12 |
| 1679848964 | Heather E. Grieve | Physician Assistant | 130 Independence Ln, La Follette, TN 37766-3073 | 2012-03-20 |
| 1083942205 | Stephanie Conder | Registered Nurse | 130 Independence Ln, La Follette, TN 37766-3031 | 2009-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457819914 | Legal Medicine | Nurse Practitioner | 100 South 5th Street, Lafollette, TN 37766 | 2019-03-04 |
| 1306329818 | Kayla Ward | Nurse Practitioner | 617 E Central Ave, La Follette, TN 37766 | 2018-09-11 |
| 1740588920 | Campbell County Walk In Clinic LLC | Family Medicine | 2301 Jacksboro Pkie, Lafollette, TN 37766 | 2011-03-11 |
| 1992001853 | Complete Rural Healthcare and Medical Center Pllc | Specialist | 2146 Jacksboro Pike Suite C, Lafollette, TN 37766 | 2011-02-09 |
| 1821211582 | Bill R Fannon Jr. | Pharmacist | 502 West Central Ave, La Follette, TN 37766 | 2007-04-11 |
| 1437272606 | Kelly B Wells | Pharmacist | 502 West Central Avenue, La Follette, TN 37766 | 2007-04-10 |
| 1548386899 | Gerald A Troutman | Dentist | 109 East Beech Street, Lafollette, TN 37766 | 2007-03-21 |
| 1437280815 | Susan Rebecca Mills | Nurse Practitioner | 2221 Jacksboro Pike Ste C4, La Follette, TN 37766 | 2007-03-08 |
| 1699844399 | County of Campbell | Ambulance | 136 North Massachusetts Ave, Lafollette, TN 37766 | 2006-11-07 |
| 1336230465 | George O'neal Vinsant | Surgery | 919 E. Central Avenue, Suite 201, Lafollette, TN 37766 | 2006-09-27 |
| Find all providers in zip 37766 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922544394 | Mountain Home Vamc | Clinic/Center | 1521 Downtown West Blvd, Knoxville, TN 37919-5407 | 2017-01-10 |
| 1073060133 | Nashville Vamc | Clinic/Center | 2 International Plaza Drive, Suite 300, Nashville, TN 37217-2011 | 2016-09-07 |
| 1962958256 | Nashville Vamc | Clinic/Center | 1208 Pointe Centre Drive, Chattanooga, TN 37421-3989 | 2016-08-28 |
| 1750779898 | Nashville Vamc | Clinic/Center | 1919 Charlotte Avenue, Suite 100, Nashville, TN 37203-2219 | 2014-12-23 |
| 1316267743 | Nashville Vamc | Clinic/Center | 2305 N Gateway Ave, Suite 2, Harriman, TN 37748-8665 | 2010-06-08 |
| 1205072436 | Memphis Vamc | Clinic/Center | 180 Old Hickory Blvd, Suite A, Jackson, TN 38305-2562 | 2008-12-17 |
| 1639342231 | Mountain Home Vamc | Clinic/Center | 925 E Morris Blvd, Morristown, TN 37813-2499 | 2008-04-04 |
| 1326082546 | Nashville Vamc | Clinic/Center | 225 Von Karman Road, Arnold Air Force Base, TN 37389-9998 | 2006-06-16 |
| 1700824646 | Mountain Home Vamc | Clinic/Center | 401 Scenic Dr, Rogersville, TN 37857-2452 | 2006-06-03 |
| 1669427050 | Memphis Vamc | Clinic/Center | 70 Harbert Dr, Savannah, TN 38372-2333 | 2006-05-23 |
| Find all providers with the same taxonomy | ||||
| City | LA FOLLETTE |
| Zip Code | 37766 |
Please comment or provide details below to improve the information on MOUNTAIN HOME 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.