GRAND JUNCTION VAMC (NPI# 1538550959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538550959 |
| Entity Type | Organization |
| Organization Name | GRAND JUNCTION VAMC |
| Other Organization Name | MOAB VA CLINIC |
| Practice Address |
702 S Main St Suite 5b Moab UT 84532-2943 |
| Mailing Address |
Po Box 94457 Cleveland OH 44101-4457 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2017-12-13 |
| 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 |
|---|---|
| MOAB VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003431537 | Grand Junction Vamc | Clinic/Center | 482 28 Rd, Grand Junction, CO 81501-7936 | 2020-06-10 |
| 1902297328 | Grand Junction Vamc | Clinic/Center | 2425 South Grand Avenue, Suite 101, Glenwood Springs, CO 81601-4181 | 2015-02-06 |
| 1043496169 | Grand Junction Vamc | Clinic/Center | 1111 W Victory Way Ste 116, Craig, CO 81625-2945 | 2008-01-18 |
| 1144268731 | Grand Junction Vamc | Clinic/Center | 154 Colorado Ave., Suite 100, Montrose, CO 81401-3600 | 2006-06-03 |
| 1386158897 | Grand Junction Vamc | Clinic/Center | 2121 North Ave, Grand Junction, CO 81501-6428 | 2017-11-20 |
| 1407806441 | Grand Junction Vamc | General Acute Care Hospital | 2121 North Ave, Grand Junction, CO 81501-6428 | 2006-05-11 |
| 1093773988 | Grand Junction Vamc | Department of Veterans Affairs (VA) Pharmacy | 2121 North Ave, Grand Junction, CO 81501-6428 | 2006-05-02 |
| Street Address |
702 S MAIN ST SUITE 5B |
| City | MOAB |
| State | UT |
| Zip Code | 84532-2943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254316 | Andrew Soliz II | Case Manager/Care Coordinator | 48 N Shields Lane, Moab, UT 84532 | 2020-08-04 |
| 1023655420 | William Douglas Wennell | Registered Nurse | 198 E. Center St., Moab, UT 84532 | 2019-12-04 |
| 1295219962 | Jordan Johnson | Case Manager/Care Coordinator | 48 N. Shields Lane, Moad, UT 84532 | 2018-09-19 |
| 1659851681 | Grand County Emergency Medical Services Special Service District | Ambulance | 520 E 100 N, Moab, UT 84532 | 2018-08-20 |
| 1265937072 | Byron Clifton Palmer | Dentist | 2700 Us-191, Suite 1, Moab, UT 84532 | 2018-03-26 |
| 1902290588 | Katherine O'reilly | Advanced Practice Midwife | 51 North Mt.peale, Moab, UT 84532 | 2015-03-23 |
| 1235548108 | Tiffany Lee Ann Van Sickle | Case Manager/Care Coordinator | 198 E Center St., Moab, UT 84532 | 2014-08-05 |
| 1881991701 | Canyonlands Health Care Special Service District | Nursing Facility/Intermediate Care Facility | 390 W Williams Way, Moab, UT 84532 | 2011-02-14 |
| 1518267459 | Advance Medical Services, Inc | Durable Medical Equipment & Medical Supplies | 1105 South Highway Building 1, Moab, UT 84532 | 2010-10-26 |
| 1164694691 | Kenneth B Lindsay | Case Manager/Care Coordinator | 48 North Shields, Moab, UT 84532 | 2008-03-25 |
| Find all providers in zip 84532 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| 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 |
| 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 |
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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.