TEMPLE VAMC (NPI# 1508273673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508273673 |
| Entity Type | Organization |
| Organization Name | TEMPLE VAMC |
| Other Organization Name | TEMPLE VA CBOC |
| Practice Address |
4501 S General Bruce Dr Suite 75 Temple TX 76502-1469 |
| Mailing Address |
Po Box 94551 Cleveland OH 44101 |
| Practice Telephone | 6153553451 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2017-09-29 |
| 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 |
|---|---|
| TEMPLE VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184662736 | Temple Vamc | Clinic/Center | 2000 S Loop 256, Suite 124, Palestine, TX 75801-5932 | 2006-06-04 |
| 1518918309 | Temple Vamc | Clinic/Center | 1401 Medical Parkway, Building C, Suite 400, Cedar Park, TX 78613-6663 | 2006-05-15 |
| 1770731895 | Temple Vamc | Clinic/Center | 2 Saint Marks Pl, La Grange, TX 78945-1251 | 2008-09-03 |
| 1609828771 | Temple Vamc | Clinic/Center | 1651 Rock Prairie Rd, Ste. 100, College Station, TX 77845-8652 | 2006-05-17 |
| 1548211154 | Temple Vamc | Clinic/Center | 2600 Memorial Park Dr, Suite A, Brownwood, TX 76801-5950 | 2006-05-16 |
| 1538110739 | Temple Vamc | Clinic/Center | 7901 Metropolis Dr, Austin, TX 78744-3111 | 2006-05-12 |
| 1124078563 | Temple Vamc | General Acute Care Hospital | 4800 Memorial Dr, Waco, TX 76711 | 2006-05-10 |
| 1558311936 | Temple Vamc | General Acute Care Hospital | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2006-05-10 |
| 1952359432 | Temple Vamc | Department of Veterans Affairs (VA) Pharmacy | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2006-05-05 |
| 1013965235 | Temple Vamc | Department of Veterans Affairs (VA) Pharmacy | 4800 Memorial Dr, Waco, TX 76711-1329 | 2006-05-04 |
| Street Address |
4501 S GENERAL BRUCE DR SUITE 75 |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730148693 | Sharon P. Balcells | Internal Medicine | 4501 S General Bruce Dr, Ste 75, Temple, TX 76502-1469 | 2006-03-20 |
| 1528459104 | Donald Keith Moon | Social Worker | 4501 S General Bruce Dr, Temple, TX 76502-1469 | 2015-02-18 |
| 1902074636 | Amber Renee Brumley | Dietitian, Registered | 4501 S General Bruce Dr, Suite 75, Temple, TX 76502-1469 | 2008-02-15 |
| 1275608606 | Elsa Lopez | Family Medicine | 4501 S General Bruce Dr, Suite 75, Temple, TX 76502-1469 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| Find all providers in zip 76502 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053624973 | Brenda Smith Ford | Clinic/Center | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2010-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241711 | Houston Vamc | Clinic/Center | 1327 Lake Pointe Pkwy Ste 520, Sugar Land, TX 77478-4096 | 2020-09-29 |
| 1720605629 | El Paso Vamc | Clinic/Center | 5229 Sanders Ave, El Paso, TX 79924-6409 | 2020-06-26 |
| 1427671627 | San Antonio Vamc | Clinic/Center | 16019 Nacogdoches Rd Ste 101, San Antonio, TX 78247-1128 | 2020-05-21 |
| 1568097491 | El Paso Vamc | Clinic/Center | 1870 Northwestern Drive, El Paso, TX 79912-9998 | 2020-03-11 |
| 1902444607 | El Paso Vamc | Clinic/Center | 350 Revere Street, El Paso, TX 79905-9998 | 2019-12-13 |
| 1982178190 | El Paso Vamc | Clinic/Center | 1250b E Cliff Dr, El Paso, TX 79902-4823 | 2019-01-22 |
| 1508313149 | Dallas Vamc | Clinic/Center | 3804 West 15th Street, Suite 175, Plano, TX 75075-4752 | 2016-09-01 |
| 1194180406 | San Antonio Vamc | Clinic/Center | 526 E Court St, Seguin, TX 78155-5712 | 2015-12-31 |
| 1649645672 | Dallas Vamc | Clinic/Center | 1518 E Lancaster Avenue, Suite A, Fort Worth, TX 76102-6775 | 2015-12-02 |
| 1073998431 | Dallas Vamc | Clinic/Center | 4900 S Lancaster Rd, Dallas, TX 75216-7402 | 2015-07-28 |
| Find all providers with the same taxonomy | ||||
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| 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.