RALPH H. JOHNSON VA MEDICAL CENTER (NPI# 1528517711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528517711 |
| Entity Type | Organization |
| Organization Name | RALPH H. JOHNSON VA MEDICAL CENTER |
| Other Organization Name | VAMC |
| Practice Address |
109 Bee St. Charleston SC 29401 |
| Mailing Address |
8531 Sentry Circle North Charleston SC 29420 |
| Practice Telephone | 8437897393 |
| Mailing Telephone | 8438641554 |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |
| Authorized Official Name | DANIELLE RENEE STREAKS (SOCIAL WORKER) |
| Authorized Official Telephone | 8437897393 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | Y |
| Parent Organization Name | VAMC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | 11769 | SC | Hospitals |
| Other Name | Type Code |
|---|---|
| VAMC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912192402 | Ralph H. Johnson Va Medical Center | Military Hospital | 91 Bogard St, Charleston, SC 29403-5230 | 2007-09-08 |
| 1558514729 | Ralph H. Johnson Va Medical Center | Military Hospital | 109 Bee St, Charleston, SC 29401-5703 | 2008-10-31 |
| 1972685808 | Ralph H. Johnson Va Medical Center | General Acute Care Hospital | 109 Bee St, Charleston, SC 29401-5703 | 2006-10-19 |
| 1558377887 | Ralph H. Johnson Va Medical Center | Surgery | 1 Pinckney Blvd, Beaufort Va Primary Care Clinic, Beaufort, SC 29902-6122 | 2006-07-31 |
| Street Address |
109 BEE ST. |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730116021 | Gearin Elizabeth Broderick | Specialist | 109 Bee St., Charleston, SC 29401 | 2006-06-26 |
| 1982819538 | Peter Tuerk | Psychologist | 109 Bee St., Charleston, SC 29401-5799 | 2007-05-14 |
| 1275630600 | Michael David Horner | Clinical Neuropsychologist | 109 Bee St., Mental Health (116), Vamc, Charleston, SC 29401-5799 | 2006-09-20 |
| 1770516163 | David Mark Countryman | Surgery | 109 Bee St., Dept of Surgery (112) Charleston Va Medical Center, Charleston, SC 29401 | 2006-07-08 |
| 1619909785 | Zhewu J Wang | Psychiatry & Neurology | 109 Bee St., Charleston, SC 29401 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162873 | Jonathan Hayes | Registered Nurse | 109 Bee St. Ralph H. Johnson Vamc, Charleston, SC 29401 | 2017-09-05 |
| 1659724904 | M & M Lineberger Dds Ms Pa | Dentist | 347 N. Caswell, Charlotte, NC 29401 | 2016-07-21 |
| 1619375185 | Zach Adams | Specialist/Technologist | 301 Meeting Street, Charleston, SC 29401 | 2014-12-15 |
| 1528469723 | Linda Graber | Occupational Therapist | 75 Calhoun Street, Charleston County Schools, Charleston, SC 29401 | 2014-09-08 |
| 1427497858 | Erika Lynn Wilson | Mechanotherapist | 310 King Street, Charleston, SC 29401 | 2013-06-19 |
| 1730525460 | Mary Beth Hill | Psychologist | 75 Cahoun Street, Charleston, SC 29401 | 2013-05-21 |
| 1699019810 | Chs Psychiatric Associates LLC | Psychiatric Hospital | 255 King Street #8, Charleston, SC 29401 | 2012-11-15 |
| 1255681581 | Parul Olivia Earley | Pharmacist | 59 George St., Charleston, SC 29401 | 2012-09-13 |
| 1669760815 | Dana Leigh Chiulli | Pharmacist | 109 Bee Street (119), Charleston, SC 29401 | 2011-07-20 |
| 1295028959 | Kathleen Anne Waters | Nurse Practitioner | Charleston Center, 5 Charleston Center Drive, Charleston, SC 29401 | 2011-05-26 |
| Find all providers in zip 29401 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205010337 | Francis Spinale | Military Hospital | 114 Doughty St, Rm 625, Charleston, SC 29403-5729 | 2007-12-26 |
| 1912192402 | Ralph H. Johnson Va Medical Center | Military Hospital | 91 Bogard St, Charleston, SC 29403-5230 | 2007-09-08 |
| 1134517329 | Ralph H. Johnson Veterans Affairs Medical Center | Military Hospital | 109 Bee St, Charleston, SC 29401-5703 | 2014-12-23 |
| 1336574797 | Ralph H Johnson Vamc | Military Hospital | 109 Bee St, Charleston, SC 29401-5703 | 2013-09-04 |
| 1750722641 | George Francis Hudson | Military Hospital | 109 Bee St, Charleston, SC 29401-5703 | 2013-07-09 |
| 1104140425 | Ralph Johnson Va Medical Center | Military Hospital | 109 Bee St, Charleston, SC 29401-5703 | 2010-03-15 |
| 1558514729 | Ralph H. Johnson Va Medical Center | Military Hospital | 109 Bee St, Charleston, SC 29401-5703 | 2008-10-31 |
| 1134319726 | Va Medical Center | Military Hospital | 109 Bee St, Charleston, SC 29401-5703 | 2007-07-30 |
| 1992729495 | Nancy C Gannon | Military Hospital | 109 Bee St, Charleston, SC 29401-5703 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760680854 | Dorn Vamc | Military Hospital | 9 Wiltshire Ct, Columbia, SC 29229-8762 | 2007-07-10 |
| 1649290347 | Stephen Perlstein | Military Hospital | 3510 Augusta Rd, Greenville, SC 29605-1302 | 2006-07-19 |
| 1114391802 | Moncrief Army Hospital | Military Hospital | 4500 Stuart St, Columbia, SC 29207-5700 | 2015-11-19 |
| 1104202662 | Us Navy | Military Hospital | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2015-08-07 |
| 1609269307 | Department of Defence | Military Hospital | 4500 Stuart St, Columbia, SC 29207-5700 | 2015-03-05 |
| 1104094374 | Moncrief Army Community Hospital | Military Hospital | 4500 Stuart St, Columbia, SC 29207-5700 | 2008-02-11 |
| 1336348911 | Dorn Vamc | Military Hospital | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2007-07-13 |
| 1659405496 | Naval Hospital Beaufort | Military Hospital | 1 Pinckney Blvd, Pharmacy Dept, Beaufort, SC 29902-6122 | 2007-03-15 |
| 1053420307 | Tiffany P Walker | Military Hospital | 6439 Garners Ferry Road, Columbia, SC 29209-1639 | 2006-08-30 |
| City | CHARLESTON |
| Zip Code | 29401 |
Please comment or provide details below to improve the information on RALPH H. JOHNSON VA MEDICAL CENTER.
| 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.