DEPARTMENT OF VETERANS AFFAIRS


Address: 209 Pauline Dr, Berea, KY 40403-8889
Phone: 8592334511

DEPARTMENT OF VETERANS AFFAIRS (NPI# 1326331083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326331083
Entity Type Organization
Organization Name DEPARTMENT OF VETERANS AFFAIRS
Practice Address 209 Pauline Dr
Berea
KY 40403-8889
Practice Telephone 8592334511
Practice Fax Number 8599861289
Enumeration Date 2011-05-27
Last Update Date 2011-05-27
Authorized Official Name LYDIA GREGORY (STAFF NURSE)
Authorized Official Telephone 8592334511
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
1096474 KY Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1124464086 Department of Veterans Affairs Clinic/Center 25 N Spruce St Ste 207, Colorado Springs, CO 80905-1450 2013-05-20
1962740662 Department of Veterans Affairs Military Hospital 437 E Mohave Rd, Tucson, AZ 85705-3627 2013-01-30
1770839540 Department of Veterans Affairs Psychiatric Hospital 2349 W Shaw Butte Dr, Phoenix, AZ 85029-3434 2012-07-31
1255617676 Department of Veterans Affairs Military Hospital 3022 Heritage Creek Oaks, Houston, TX 77008-6156 2011-10-31
1750687414 Department of Veterans Affairs Clinic/Center Casia 10, San Juan, PR 00926-0926 2011-01-28
1740580828 Department of Veterans Affairs General Acute Care Hospital 23809 E Silsby Rd, Beachwood, OH 44122-1271 2010-10-23
1306170295 Department of Veterans Affairs Clinic/Center 99 River Rd, Lincoln, ME 04457-4012 2009-09-24
1033358239 Department of Veterans Affairs Military Hospital 5782 W Cortaro Crossing Dr, Tucson, AZ 85742-8128 2009-02-11
1194976274 Department of Veterans Affairs Community/Behavioral Health 3372 State Route 11, Malone, NY 12953-4712 2008-10-07
1053560540 Department of Veterans Affairs General Acute Care Hospital 2002 Holcombe Blvd # 112c, Houston, TX 77030-4211 2008-09-09

Office Location

Street Address 209 PAULINE DR
City BEREA
State KY
Zip Code 40403-8889

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851328074 John Melton Bennett Emergency Medicine 209 Pauline Dr, Berea, KY 40403-8889 2006-06-26
1780182154 Dana M Schneider-kovach Social Worker 209 Pauline Dr, Berea, KY 40403-8889 2018-01-31
1194187633 Hannah Bennett Internal Medicine 209 Pauline Dr, Berea, KY 40403-8889 2016-03-23
1619371135 Michelle Pearson Dietitian, Registered 209 Pauline Dr, Berea, KY 40403-8889 2014-10-13
1215253018 Terri Susan Daugherty Registered Nurse 209 Pauline Dr, Berea, KY 40403-8889 2010-04-19
1528205648 Lexington Vamc Clinic/Center 209 Pauline Dr, Berea, KY 40403-8889 2009-01-12
1740434802 Dicky Lhaden Aikat Internal Medicine 209 Pauline Dr, Berea, KY 40403-8889 2008-11-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912559899 Addiction Recovery Care LLC Substance Abuse Rehabilitation Facility 130 Campus Dr., Annville, KY 40403 2019-07-11
1710479241 Mccays Total Care Pharmacy South LLC Pharmacy 852 Ridgewood Drive, Suite F, Berea, KY 40403 2018-05-31
1306371703 Ariel Boyd Occupational Therapist 752 Richmond Rd N, Berea, KY 40403 2017-04-24
1093060188 Kevin Allen Skidmore Optometrist 854 Ridgewood Drive, Berea, KY 40403 2012-07-16
1366715443 Jeannie Marie Lakes Case Manager/Care Coordinator 137 Raven Drive, Berea, KY 40403 2012-02-20
1679858138 Anita Zlamal Pharmacist 220 Richmond Rd, Berea, KY 40403 2011-10-17
1093099210 Teresa Leigh Turner Nurse Practitioner 208 Kidd Drive, Berea, KY 40403 2011-10-06
1992005839 Madison County Health Department Public Health or Welfare 751 Farristown Industrial, Berea, KY 40403 2010-10-26
1154632271 Jones Family & Cosmetic Dentistry Dentist 201 Pauline Dr., Suite H, Berea, KY 40403 2010-06-23
1174845713 Chris Sipple Enterprises LLC Chiropractor 502 Richmond Road, Berea, KY 40403 2010-02-24
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700819802 Berea Clinic of Internal Medicine, Psc Clinic/Center 1036 Ace Dr, Berea, KY 40403-1327 2006-07-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598383572 Enhance The Aesthetic & Wellness Co. Clinic/Center 801 Country Club Ln, Hopkinsville, KY 42240-1370 2020-07-07
1679192611 Temple Triage Pllc Clinic/Center 8209 Pennsylvania Run Rd, Louisville, KY 40228-2143 2020-04-09
1154966778 Member Medical, Inc. Clinic/Center 3046 Dolphin Dr Ste 104, Elizabethtown, KY 42701-7182 2019-11-07
1104384213 Directcare Family Health, Pllc Clinic/Center 525 High St Ste 209, Paris, KY 40361-1849 2019-03-07
1407311194 Quad/med, LLC Clinic/Center 739 S Dixie St, Horse Cave, KY 42749 2019-02-06
1265906192 Core Chiropractic and Family Wellness Pllc Clinic/Center 524 E.second St, Lexington, KY 40508 2019-01-14
1134606403 Hope Primary & Urgent Care Pllc Clinic/Center 2157 S Highway 27, Stearns, KY 42647-6297 2018-07-19
1780177618 Access Med, Pllc Clinic/Center 642 E Lexington Ave, Danville, KY 40422-1719 2018-06-14
1447743760 Remedy House Calls Clinic/Center 37 Christopher Dr, South Shore, KY 41175-9447 2018-06-12
1932611019 Family Care Professional Limited Liability Company Clinic/Center 3190 Irvine Rd., Richmond, KY 40475-4047 2017-10-30
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Competitor

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City BEREA
Zip Code 40403

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Dataset Information

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.

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