MEMPHIS VAMC


Address: 2908 S Caraway Rd Ste B, Jonesboro, AR 72401-7306
Phone: 6153553451

MEMPHIS VAMC (NPI# 1619923398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619923398
Entity Type Organization
Organization Name MEMPHIS VAMC
Other Organization Name JONESBORO VA CBOC
Practice Address 2908 S Caraway Rd Ste B
Jonesboro
AR 72401-7306
Mailing Address Po Box 94511
Cleveland
OH 44101
Practice Telephone 6153553451
Mailing Telephone 6153553451
Enumeration Date 2006-05-25
Last Update Date 2020-02-04
Authorized Official Name ERIN POTTER (NPI TEAM MEMBER)
Authorized Official Telephone 2023822579
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QV0200X Clinic/Center
Specialization: VA
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Jonesboro VA CBOC Other Name - Individual/Organization
JONESBORO VA CLINIC Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1649401316 Memphis Vamc Clinic/Center 125 Quarles Ln, West Helena, AR 72390-1923 2009-07-29
1205072436 Memphis Vamc Clinic/Center 180 Old Hickory Blvd, Suite A, Jackson, TN 38305-2562 2008-12-17
1073552436 Memphis Vamc Clinic/Center 1114 Commonwealth Blvd., Tupelo, MS 38804-9998 2006-06-04
1669427050 Memphis Vamc Clinic/Center 70 Harbert Dr, Savannah, TN 38372-2333 2006-05-23
1194778357 Memphis Vamc Clinic/Center 1700 Crescent Meadows, Holly Springs, MS 38635-7414 2006-05-18
1154374726 Memphis Vamc Clinic/Center 3461 Austin Peay Hwy, Memphis, TN 38128-3801 2006-05-17
1326436452 Memphis Vamc Clinic/Center 1407 Union Ave, 11th Floor, Memphis, TN 38104-3627 2014-12-23
1659667996 Memphis Vamc Military Hospital 1030 Jefferson Ave, Memphis, TN 38104-2127 2011-06-24
1356572010 Memphis Vamc Clinic/Center 1067 Vendall Rd, Dyersburg, TN 38024-1622 2009-07-29
1134370885 Memphis Vamc Clinic/Center 154 Mt. Pleasant Road, Mount Pleasant, MS 38635-9332 2008-09-30

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities MEMPHIS VAMC 1030 Jefferson Ave, Memphis, TN 38104-2127

Office Location

Street Address 2908 S CARAWAY RD STE B
City JONESBORO
State AR
Zip Code 72401-7306

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407453368 Mariah Kay Jackson Physical Therapy Assistant Creative Kids Therapy, Jonesboro, AR 72401 2020-10-05
1821606005 Kafayat Folake Iyanda Specialist/Technologist 2105 East Aggie Rd, Jonesboro, AR 72401 2020-07-14
1053936310 Josh Roberts Physical Therapist 1010 South Main St, Jonesboro, AR 72401 2020-06-12
1003449687 Amy Mary Elizabeth Daughhetee Nurse Practitioner 225 East Washington Ave, Jonesboro, AR 72401 2020-02-21
1871126698 Sarah Lowtharp Clinical Nurse Specialist 225 East Washington Ave., Jonesboro, AR 72401 2020-02-20
1891335519 Mallori Miller Case Manager/Care Coordinator 837 Willett Rd, Jonesboro, AR 72401 2020-01-10
1265073704 Michael Bruce Collie Registered Nurse 837 Williett Road, Jonesboro, AR 72401 2019-10-07
1285283432 Jonesboro Ambulatory Surgery Center, LLC Clinic/Center 1710 Mayfield Dr, Jonesboro, AR 72401 2019-09-10
1841843943 Destinee Katrina Cole Specialist/Technologist 2015 Aggie Rd, Jonesboro, AR 72401 2019-07-18
1699250472 Jessica Marie Mcnatt Occupational Therapist 907 County Road 753, Jonesboro, AR 72401 2018-09-27
Find all providers in zip 72401

Taxonomy Information

Taxonomy Code 261QV0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization VA

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528456811 Fayetteville Vamc Clinic/Center 216 East Township Street, Fayetteville, AR 72703-2818 2015-01-08
1073821518 Little Rock Vamc Clinic/Center 1520 E Dave Ward Dr, Conway, AR 72032-9649 2010-09-17
1831415751 Fayetteville Vamc Clinic/Center 2713 W Commercial St, Ozark, AR 72949-3409 2010-04-16
1649401316 Memphis Vamc Clinic/Center 125 Quarles Ln, West Helena, AR 72390-1923 2009-07-29
1508809948 St. Louis Jc Vamc Clinic/Center 2420 Linwood Dr, Suite 3, Paragould, AR 72450-6122 2006-06-14
1417996489 Shreveport Vamc Clinic/Center 910 Realtor Road, Texarkana, AR 71854-1020 2006-06-05
1063450617 Little Rock Vamc Clinic/Center 759 Highway 62 E, Suite 331, Mountain Home, AR 72653-3260 2006-06-04
1861439697 Little Rock Vamc Clinic/Center 300 Morrow St S, Mena, AR 71953 2006-06-01
1215982582 Little Rock Vamc Clinic/Center 177 Sawtooth Oak St, Hot Springs, AR 71901-7160 2006-05-24
1215980164 Little Rock Vamc Clinic/Center 1702 N West Ave, El Dorado, AR 71730 2006-05-19
Find all providers with the same taxonomy

Competitor

Search similar providers

City JONESBORO
Zip Code 72401

Improve Information

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Dataset Information

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.

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