GAINESVILLE VAMC


Address: 484 Sw Commerce Dr, Lake City, FL 32025-1507
Phone: 4076224142

GAINESVILLE VAMC (NPI# 1437627015) 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) 1437627015
Entity Type Organization
Organization Name GAINESVILLE VAMC
Practice Address 484 Sw Commerce Dr
Lake City
FL 32025-1507
Mailing Address Po Box 140794
Orlando
FL 32814-0794
Practice Telephone 4076224142
Mailing Telephone 4076224142
Enumeration Date 2018-11-13
Last Update Date 2018-11-13
Authorized Official Name ERIN DENISE POTTER (NPI TEAM MEMBER)
Authorized Official Telephone 2023822579
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QV0200X Clinic/Center
Specialization: VA
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
LAKE CITY VA CLINIC Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1528683257 Gainesville Vamc General Acute Care Hospital 2080 Child St Bldg 200h, Jacksonville, FL 32214-5005 2020-06-09
1528681723 Gainesville Vamc Clinic/Center 400 College Dr Ste 200, Middleburg, FL 32068-8525 2020-05-21
1194123430 Gainesville Vamc Clinic/Center 620 Northwest 16th Street, Gainesville, FL 32601-4034 2014-12-19
1003214347 Gainesville Vamc Clinic/Center 3401 Northwest 98th Street, Gainesville, FL 32606-5207 2014-12-19
1306886791 Gainesville Vamc Clinic/Center 348 Enterprise Dr Ste B, Valdosta, GA 31601-5169 2006-06-07
1295772747 Gainesville Vamc Clinic/Center 1515 E Silver Springs Blvd Ste 226, Ocala, FL 34470-6856 2006-06-01
1720036296 Gainesville Vamc Department of Veterans Affairs (VA) Pharmacy 2181 Orange Ave E, Tallahassee, FL 32311-6144 2006-05-05
1174983480 Gainesville Vamc Psychiatric Residential Treatment Facility 1601 S.w. Archer Road, Gainesville, FL 32608-1197 2016-02-29
1376910968 Gainesville Vamc Clinic/Center 1224 N Peacock Ave, Perry, FL 32347-2117 2015-08-31
1821464314 Gainesville Vamc Clinic/Center 3901 University Blvd. South, Jacksonville, FL 32216-4312 2015-08-19

Office Location

Street Address 484 SW COMMERCE DR
City LAKE CITY
State FL
Zip Code 32025-1507

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972596450 Clinical Pet of Lake City Clinic/Center 484 Sw Commerce Dr, Suite 145, Lake City, FL 32025-1507 2005-08-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801438353 Jennifer Bennett Pharmacist 347 Sw Main Blvd Suite 102, Lake City, FL 32025 2019-10-16
1700352838 Robert J Sansouci IIi IIi Physical Therapy Assistant 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 2018-10-16
1316442783 Emily Bailey Developmental Therapist 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 2018-03-28
1811446370 Michelle Hart Behavioral Analyst 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 2016-09-26
1922467646 Irene Aponte Moreno Nurse Practitioner 440 Sw Perimeter Glen, Lake City, FL 32025 2016-02-23
1093186777 Decarlos Scippio Counselor 619 Sw Baya Drive Suite 102, Lake City, FL 32025 2015-10-07
1497132476 Jamecia Legree Registered Nurse 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 2015-04-29
1306249149 Mercy Home Assisted Living Facility LLC Assisted Living Facility 184 S.e. Beech Street, Lake City, FL 32025 2014-10-08
1598174344 Karen Mcdonald Developmental Therapist 4523 Se County Road 252, Lake City, FL 32025 2014-08-06
1275944126 Mohammad Ali Faisal Mdpa Specialist 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 2014-05-14
Find all providers in zip 32025

Taxonomy Information

Taxonomy Code 261QV0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization VA

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639272313 Charles Lye Clinic/Center 619 S Marion Ave, Lake City, FL 32025-5808 2006-09-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528681723 Gainesville Vamc Clinic/Center 400 College Dr Ste 200, Middleburg, FL 32068-8525 2020-05-21
1831719715 Orlando Vamc Clinic/Center 5200 Babcock St Ne Ste 101, Palm Bay, FL 32905-4639 2020-04-21
1851955405 Tampa Vamc Clinic/Center 12920 Summerfield Crossing Blvd., Riverview, FL 33579-7210 2019-04-30
1316331952 James A.haley Va Hospital Clinic/Center 6465 142nd Ave N Apt X205, Clearwater, FL 33760-2785 2015-03-20
1326436601 Biloxi Vamc Clinic/Center 140 Richard Jackson Blvd, Suite 100, Panama City Beach, FL 32407-2512 2015-01-08
1255729505 Tampa Vamc Clinic/Center 110210 Us Highway 19 North, Suite 102, New Port Richey, FL 34668-9998 2015-01-08
1609264738 Orlando Vamc Clinic/Center 3731 S Clyde Morris Blvd, Port Orange, FL 32129-2319 2014-12-23
1902204167 Tampa Vamc Clinic/Center 7701 Little Rd, New Port Richey, FL 34654-5403 2014-12-19
1386042620 West Palm Beach Vamc Clinic/Center 126 Sw Chamber Ct, Port Saint Lucie, FL 34986-3496 2014-12-19
1629476965 Tampa Vamc Clinic/Center 14014 North 46th Street, Tampa, FL 33613-9998 2014-12-19
Find all providers with the same taxonomy

Competitor

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City LAKE CITY
Zip Code 32025

Improve Information

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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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