WHITE RIVER JUNCTION VAMC (NPI# 1316345093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316345093 |
| Entity Type | Organization |
| Organization Name | WHITE RIVER JUNCTION VAMC |
| Other Organization Name | ST. JOHNSBURY VA CLINIC |
| Practice Address |
141 Railroad Street St. Johnsbury VT 05819-9998 |
| Mailing Address |
Po Box 3015 Lebanon PA 17042-3015 |
| Practice Telephone | 7172776565 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2017-04-26 |
| 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 |
|---|---|
| ST. JOHNSBURY VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760702765 | White River Junction Vamc | Clinic/Center | 71 Gsp Dr, Brattleboro, VT 05301-4452 | 2010-06-02 |
| 1861435083 | White River Junction Vamc | Clinic/Center | 232 West St, Rutland, VT 05701-2850 | 2006-06-14 |
| 1184675795 | White River Junction Vamc | Clinic/Center | 128 Lakeside Avenue, Suite 260, Burlington, VT 05401-5911 | 2006-05-16 |
| 1801847447 | White River Junction Vamc | Clinic/Center | 186 North St, Bennington, VT 05201-1874 | 2006-05-15 |
| 1356706147 | White River Junction Vamc | Psychiatric Residential Treatment Facility | 215 N Main St, White River Junction, VT 05009-3833 | 2015-12-21 |
| 1952709537 | White River Junction Vamc | Clinic/Center | 1734 Crawford Farm Rd, Newport, VT 05855-4509 | 2014-12-12 |
| 1124397211 | White River Junction Vamc | Clinic/Center | 640 Marlboro St, Keene, NH 03431-4049 | 2011-12-20 |
| 1497794432 | White River Junction Vamc | Clinic/Center | 264 Cottage St, Littleton, NH 03561 | 2006-06-05 |
| 1134179146 | White River Junction Vamc | General Acute Care Hospital | 215 N Main St, Va Medical and Regional Office Center, White River Junction, VT 05009-0001 | 2006-05-11 |
| 1790733996 | White River Junction Vamc | Department of Veterans Affairs (VA) Pharmacy | 215 N Main St, White River Junction, VT 05009-0001 | 2006-05-04 |
| Street Address |
141 RAILROAD STREET |
| City | ST. JOHNSBURY |
| State | VT |
| Zip Code | 05819-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457353 | Amber L Carrasquillo | Pharmacist | 438 Railroad St Apt 301, Saint Johnsbury, VT 05819 | 2018-11-27 |
| 1700378734 | Laura Amy Nixon | Physician Assistant | 41 Sherman Drive, St. Johnsbury, VT 05819 | 2018-06-05 |
| 1447797873 | Kingdom Autism and Behavioral Health, LLC | Behavioral Analyst | 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 | 2017-01-24 |
| 1407211493 | Scott Rosemark | Pharmacist | 957 Memorial Drive, Saint Johnsbury, VT 05819 | 2015-12-18 |
| 1134541295 | Meghan Davis | Counselor | 231 Concord Ave Ste 2, St Johnsbury, VT 05819 | 2014-01-09 |
| 1639490279 | Carol Lynn Smith | Counselor | 445 Portland St, St. Johnsbury, VT 05819 | 2010-06-17 |
| 1548435696 | Philip Lightbear | Counselor | 108 Cherry Street Suite 1, St Johnsburg, VT 05819 | 2008-04-29 |
| 1740452416 | Kimberly Dena Lightbear | Counselor | 108 Cherry Street, St Johnsbury, VT 05819 | 2008-04-02 |
| 1720262249 | Deborah B Goldberg | Psychologist | 1194 Main Street, Suite 107, St Johnsbury, VT 05819 | 2007-12-19 |
| 1154501880 | Mary Jane Egerton | Social Worker | 506 Tripp Lane, St Johnsburg, VT 05819 | 2007-11-09 |
| Find all providers in zip 05819 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760702765 | White River Junction Vamc | Clinic/Center | 71 Gsp Dr, Brattleboro, VT 05301-4452 | 2010-06-02 |
| 1861435083 | White River Junction Vamc | Clinic/Center | 232 West St, Rutland, VT 05701-2850 | 2006-06-14 |
| 1184675795 | White River Junction Vamc | Clinic/Center | 128 Lakeside Avenue, Suite 260, Burlington, VT 05401-5911 | 2006-05-16 |
| 1801847447 | White River Junction Vamc | Clinic/Center | 186 North St, Bennington, VT 05201-1874 | 2006-05-15 |
| 1952709537 | White River Junction Vamc | Clinic/Center | 1734 Crawford Farm Rd, Newport, VT 05855-4509 | 2014-12-12 |
| 1760777189 | Department of Veterans Affairs | Clinic/Center | 215 N Main St, White River Junction, VT 05009-0001 | 2011-06-14 |
| City | ST. JOHNSBURY |
| Zip Code | 05819 |
Please comment or provide details below to improve the information on WHITE RIVER JUNCTION 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.