SALT LAKE CITY VAMC (NPI# 1497146823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497146823 |
| Entity Type | Organization |
| Organization Name | SALT LAKE CITY VAMC |
| Other Organization Name | IDAHO FALLS VA CLINIC |
| Practice Address |
640 S Woodruff Ave Idaho Falls ID 83401-5299 |
| Mailing Address |
Po Box 94463 Cleveland OH 44101-4463 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2018-11-23 |
| 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 |
|---|---|
| IDAHO FALLS VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659980316 | Salt Lake City Vamc | Clinic/Center | 2380 N 400 E Ste G, North Logan, UT 84341-1769 | 2020-07-29 |
| 1124419551 | Salt Lake City Vamc | Clinic/Center | 189 S 600 W, Suite B, Price, UT 84501-2833 | 2015-02-06 |
| 1295126621 | Salt Lake City Vamc | Clinic/Center | 2719 Argent Avenue, Suite 9, Elko, NV 89801-8443 | 2015-02-06 |
| 1124062898 | Salt Lake City Vamc | Clinic/Center | 245 W 200 N, Roosevelt, UT 84066-2740 | 2006-06-15 |
| 1184664559 | Salt Lake City Vamc | Clinic/Center | 230 N 1680 E, Building N, St George, UT 84790-2579 | 2006-06-07 |
| 1093753675 | Salt Lake City Vamc | Clinic/Center | 774 S State St, Orem, UT 84058-6308 | 2006-06-03 |
| 1356812655 | Salt Lake City Vamc | Clinic/Center | 5957 Fashion Point Dr, South Ogden, UT 84403-5180 | 2018-12-12 |
| 1619113115 | Salt Lake City Vamc | Clinic/Center | 2750 S 5600 W, West Valley City, UT 84120-1249 | 2009-01-05 |
| 1407894868 | Salt Lake City Vamc | Clinic/Center | 982 Chambers St, South Ogden, UT 84403-4571 | 2006-06-04 |
| 1487691002 | Salt Lake City Vamc | Clinic/Center | 500 S 11th Ave, Pocatello, ID 83201-4835 | 2006-06-01 |
| Street Address |
640 S WOODRUFF AVE |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401-5299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356465660 | Eagle Rock Dental Care | Dentist | 640 S Woodruff Ave, Idaho Falls, ID 83401-5299 | 2007-03-19 |
| 1265075568 | Alison Burau | Social Worker | 640 S Woodruff Ave, Idaho Falls, ID 83401-5299 | 2019-10-20 |
| 1295021632 | Blaine A Hammond | Dentist | 640 S Woodruff Ave, Idaho Falls, ID 83401-5299 | 2011-06-23 |
| 1811157001 | Nicholas J Tanner | Dentist | 640 S Woodruff Ave, Idaho Falls, ID 83401-5299 | 2008-06-11 |
| 1558534917 | Alan Ray Cooper | Dentist | 640 S Woodruff Ave, Idaho Falls, ID 83401-5299 | 2008-04-08 |
| 1265604995 | Steven Abbott Barnard | Dentist | 640 S Woodruff Ave, Idaho Falls, ID 83401-5299 | 2008-04-02 |
| 1760654487 | Douglas Steven Barnard | Dentist | 640 S Woodruff Ave, Idaho Falls, ID 83401-5299 | 2008-04-02 |
| 1821260555 | Cade Grimmett Baldwin | Dentist | 640 S Woodruff Ave, Idaho Falls, ID 83401-5299 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| Find all providers in zip 83401 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750798815 | Boise Vamc | Clinic/Center | 705 Lena St, Salmon, ID 83467-4208 | 2014-07-21 |
| 1609044478 | Spokane Vamc | Clinic/Center | 915 W Emma Ave, Coeur D Alene, ID 83814-2531 | 2008-02-14 |
| 1164461042 | Boise Vamc | Clinic/Center | 260 2nd Ave E, Suite 12, Twin Falls, ID 83301-6242 | 2006-06-06 |
| 1184262487 | We Care Wellness Center, Inc. | Clinic/Center | 827 W Prairie Ave, Hayden, ID 83835-8459 | 2019-12-17 |
| 1578007183 | Department of Veterans Affairs | Clinic/Center | 915 W Emma Ave, Coeur D Alene, ID 83814-2531 | 2016-12-16 |
| 1316338486 | Spokane Vamc | Clinic/Center | 30410 Highway 200, Ponderay, ID 83852-9601 | 2015-02-11 |
| 1093106171 | Walla Walla Vamc | Clinic/Center | 711 W North St, Grangeville, ID 83530-1349 | 2015-02-11 |
| 1003223165 | Boise Vamc | Clinic/Center | 815 N 6th E, Mountain Home, ID 83647-2207 | 2014-07-21 |
| 1114289618 | Rhonda Lynn Dutcher-barfuss | Clinic/Center | 444 Hospital Way, Suite 801, Pocatello, ID 83201-2745 | 2012-06-11 |
| 1124152921 | Boise Vamc | Clinic/Center | 4521 Thomas Jefferson St, Caldwell, ID 83605-5100 | 2007-03-15 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83401 |
Please comment or provide details below to improve the information on SALT LAKE CITY 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.