CLARKSBURG VAMC (NPI# 1508804964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508804964 |
| Entity Type | Organization |
| Organization Name | CLARKSBURG VAMC |
| Other Organization Name | PARKERSBURG VA CBOC |
| Practice Address |
2311 Ohio Ave Suite A Parkersburg WV 26101-2559 |
| Mailing Address |
Po Box 94436 Cleveland OH 44101-4436 |
| Practice Telephone | 8282572333 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2018-04-17 |
| 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 |
|---|---|
| PARKERSBURG VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669412037 | Clarksburg Vamc | Clinic/Center | 260 Spruce St, Parsons, WV 26287-1015 | 2006-06-07 |
| 1790739118 | Clarksburg Vamc | Clinic/Center | 40 Reston Pl, Gassaway, WV 26624-7899 | 2006-05-20 |
| 1619342870 | Clarksburg Vamc | Clinic/Center | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2015-12-14 |
| 1972753655 | Clarksburg Vamc | Clinic/Center | 40 Commerce Dr, Suite 101, Westover, WV 26501-3874 | 2008-09-30 |
| 1295784056 | Clarksburg Vamc | General Acute Care Hospital | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2006-05-09 |
| 1356399364 | Clarksburg Vamc | Department of Veterans Affairs (VA) Pharmacy | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2006-05-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CLARKSBURG VAMC | 1 Med Center Dr, Clarksburg, WV 26301-4155 |
| Street Address |
2311 OHIO AVE SUITE A |
| City | PARKERSBURG |
| State | WV |
| Zip Code | 26101-2559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306840228 | Amber E Knowlton | Physician Assistant | 2311 Ohio Ave, Suite A, Parkersburg, WV 26101-2559 | 2005-06-09 |
| 1689772055 | Pharmacy Associates, Inc | Durable Medical Equipment & Medical Supplies | 2311 Ohio Ave, Memorial Bridge Plaza Unit-b, Parkersburg, WV 26101-2559 | 2006-09-20 |
| 1841261815 | Kelly P. Cummings | Physician Assistant | 2311 Ohio Ave, Parkersburg, WV 26101-2559 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332682 | Tana Shea | Technician | 1906 Camden Ave, Parkersburg, WV 26101 | 2020-10-08 |
| 1386241776 | Karen Sleeth-harrison | Technician | 149 Rolling Hills Ct, Parkersburg, WV 26101 | 2020-10-08 |
| 1679120786 | Hope Hill Mental Wellness Center LLC | Nurse Practitioner | 1809 Dupont Rd E. Suite #1, Parkersburg, WV 26101 | 2019-08-22 |
| 1699230128 | Sarah Marie Hendrix | Nurse Practitioner | 1013 Garfield Avenue, Parkersburg, WV 26101 | 2019-02-08 |
| 1871085787 | Jeffrey G. Minchau, Dds, Ms, Inc. | Dentist | 2601 Dudley Avenue, Bldg. 1, Parkersburg, WV 26101 | 2018-06-06 |
| 1902324544 | Medexpress Urgent Care, PC - Virginia | Family Medicine | 17 Ronald Regan Drive, Parkersburg, WV 26101 | 2017-09-05 |
| 1033634282 | Caitlin Elizabeth Lanese | Speech-Language Pathologist | 2010 Garfield Ave Ste 2, Parkersburg, WV 26101 | 2017-08-09 |
| 1386168391 | Maria Cristina Steriu | Internal Medicine | 800 Garfield Ave Rm G102, Parkersburg, WV 26101 | 2017-08-01 |
| 1003342791 | Sue Ellen Kendall | Community Health Worker | 3407 7th Ave, Parkersburg, WV 26101 | 2017-05-02 |
| 1083161400 | Total Renal Care Inc | Clinic/Center | 214 Gihon Vlg, Parkersburg, WV 26101 | 2016-09-01 |
| Find all providers in zip 26101 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063885754 | Beckley Vamc | Clinic/Center | 1780 Stadium Dr, Bluefield, WV 24701-3322 | 2015-11-04 |
| 1477947331 | Beckley Vamc | Clinic/Center | 150 Courthouse Rd, Princeton, WV 24740-2419 | 2015-03-27 |
| 1861809816 | Huntington Vamc | Clinic/Center | 15 Lenore Business Mall, 2867 Route 65, Williamson, WV 25661-9199 | 2014-07-22 |
| 1861794067 | Beckley Vamc | Clinic/Center | 228 Shamrock Ln, Ronceverte, WV 24970-8380 | 2010-11-22 |
| 1912941501 | Martinsburg Vamc | Clinic/Center | 15 Grant St, Petersburg, WV 26847-1613 | 2006-06-15 |
| 1669412037 | Clarksburg Vamc | Clinic/Center | 260 Spruce St, Parsons, WV 26287-1015 | 2006-06-07 |
| 1194771071 | Martinsburg Vamc | Clinic/Center | 91 Pine Street, Franklin, WV 26807-9998 | 2006-05-25 |
| 1790739118 | Clarksburg Vamc | Clinic/Center | 40 Reston Pl, Gassaway, WV 26624-7899 | 2006-05-20 |
| 1194776823 | Braxton Va Clinic | Clinic/Center | 707 Elk St, Gassaway, WV 26624-1113 | 2006-05-15 |
| 1144271883 | Huntington Vamc | Clinic/Center | 700 Technology Dr, South Charleston, WV 25309-8571 | 2006-05-15 |
| Find all providers with the same taxonomy | ||||
| City | PARKERSBURG |
| Zip Code | 26101 |
Please comment or provide details below to improve the information on CLARKSBURG 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.