ERIE VAMC (NPI# 1598703118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598703118 |
| Entity Type | Organization |
| Organization Name | ERIE VAMC |
| Other Organization Name | BRADFORD VA CLINIC |
| Practice Address |
23 Kennedy St Bradford PA 16701-2065 |
| Mailing Address |
Po Box 3006 Lebanon PA 17042-3006 |
| Practice Telephone | 7172776565 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2015-09-29 |
| 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 |
|---|---|
| Bradford VA Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700839396 | Erie Vamc | Clinic/Center | 16954 Conneaut Lake Road, Meadville, PA 16335-3738 | 2006-05-18 |
| 1871544064 | Erie Vamc | Clinic/Center | 2044 Lambros Ln, Ashtabula, OH 44004-2700 | 2006-05-13 |
| 1235275751 | Erie Vamc | Clinic/Center | 3 Farm Colony Dr, Farm Colony Professional Building, Warren, PA 16365-5209 | 2007-01-30 |
| 1710037973 | Erie Vamc | Clinic/Center | 464 Allegheny Blvd, Franklin, PA 16323-6259 | 2007-01-11 |
| 1396796827 | Erie Vamc | Skilled Nursing Facility | 135 E 38th St, Erie, PA 16504-1559 | 2006-05-12 |
| 1811955743 | Erie Vamc | Pharmacy | 135 E 38th St, Erie, PA 16504-1559 | 2006-05-02 |
| Street Address |
23 KENNEDY ST |
| City | BRADFORD |
| State | PA |
| Zip Code | 16701-2065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912182999 | Town Center Woman's Care PC | Obstetrics & Gynecology | 23 Kennedy St, Suite 101, Bradford, PA 16701-2065 | 2008-01-08 |
| 1518907880 | Luis B Marrero | Internal Medicine | 23 Kennedy St, Suite 302, Bradford, PA 16701-2005 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557232 | Allison Keller | Pharmacist | 50 Foster Brook Bvld, Bradford, PA 16701 | 2020-10-30 |
| 1043767734 | Asim Makhdom | Orthopaedic Surgery | 195 Pleasant Street, Suite 5, Bradford, PA 16701 | 2016-09-09 |
| 1821435322 | Family Wellness Chiropractic Inc. | Chiropractor | 536 East Main Street, Bradford, PA 16701 | 2013-05-24 |
| 1285983973 | Ashley Lynn Disney | Physician Assistant | 181 Interstate Parkway, Bradford, PA 16701 | 2012-09-10 |
| 1760799563 | Paulinus Joseph Sorg | Physical Therapist | 24 West Washington Street, Bradford, PA 16701 | 2010-09-01 |
| 1215194535 | Jill Lorryn Campbell | Speech-Language Pathologist | 412 Langmaid Ln, Bradford, PA 16701 | 2008-05-22 |
| 1689890048 | Brian Alan Volpe | Dentist | 84 Boylston St, Bradford, PA 16701 | 2007-04-17 |
| 1366564098 | Lori Ann Peterson | Speech-Language Pathologist | 110 Campus Drive, Bradford, PA 16701 | 2007-04-04 |
| 1760507776 | Bruce Lee Sitler | Physical Therapist | Bradford Ecumenical Home, 100 St. Francis Drive, Bradford, PA 16701 | 2007-03-20 |
| 1932294451 | Nancy Marie Fuhrman | Chiropractor | 28 Davis Street, Union Square, Bradford, PA 16701 | 2006-10-03 |
| Find all providers in zip 16701 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407316219 | Philadelphia Va Medical Center | Clinic/Center | 6232 Market St Ste 100, Philadelphia, PA 19139-2922 | 2019-03-20 |
| 1184012684 | Lebanon Vamc | Clinic/Center | 1 Garrison Rd, Building 4-114 Fort Indiantown Gap, Annville, PA 17003-5061 | 2015-01-06 |
| 1134517360 | Philadelphia Vamc | Clinic/Center | 4219 Chestnut St, Philadelphia, PA 19104-3014 | 2014-12-22 |
| 1659779254 | Buffalo Vamc | Clinic/Center | 24 Maple View Ln, Suite 2, Coudersport, PA 16915-9527 | 2014-12-12 |
| 1851644967 | Altoona Vamc | Clinic/Center | 13903 William Penn Hwy, Mapleton Depot, PA 17052-9649 | 2012-10-26 |
| 1841340015 | Warren Cboc | Clinic/Center | 3 Farm Colony Dr, Warren, PA 16365-5209 | 2007-01-11 |
| 1184771123 | Pittsburgh Vamc | Clinic/Center | 635 Pittsburgh Rd, Suite 520, Uniontown, PA 15401-2215 | 2007-01-04 |
| 1740224971 | Wilkes Barre Vamc | Clinic/Center | Tobyhanna Army Depot, Bldg 220, Tobyhanna, PA 18466-5002 | 2006-06-16 |
| 1659315380 | Philadelphia Va Clinic | Clinic/Center | 214 North 4th St., 2nd Floor, Philadelphia, PA 19106 | 2006-06-15 |
| 1376585588 | Butler Vamc | Clinic/Center | 11 Hilltop Plz, Kittanning, PA 16201-8905 | 2006-06-12 |
| 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.