MARION VAMC (NPI# 1649217027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649217027 |
| Entity Type | Organization |
| Organization Name | MARION VAMC |
| Other Organization Name | MUNCIE VA CLINIC |
| Practice Address |
3401 N Morrison Rd Muncie IN 47304-5568 |
| Mailing Address |
Po Box 5285 Madison WI 53705-0285 |
| Practice Telephone | 6088217200 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-02-04 |
| 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 |
|---|---|
| Muncie VA CBOC | Other Name - Individual/Organization |
| MUNCIE VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508219858 | Marion Vamc | Clinic/Center | 340 Columbia Place, South Bend, IN 46601-2339 | 2016-07-21 |
| 1346629367 | Marion Vamc | Clinic/Center | 2500 E State Blvd, Fort Wayne, IN 46805-4728 | 2015-05-22 |
| 1427597707 | Marion Vamc | Clinic/Center | 1540 Trinity Pl, Mishawaka, IN 46545-5006 | 2017-02-20 |
| 1558684829 | Marion Vamc | Clinic/Center | 750 N Broadway, Peru, IN 46970-1027 | 2010-03-01 |
| 1598095036 | Marion Vamc | Military Hospital | 2401 W Main St, Marion, IL 62959-1188 | 2010-01-06 |
| 1528217361 | Marion Vamc | Clinic/Center | 2606 Peddlers Village Rd, Suite 210, Goshen, IN 46526-1004 | 2008-09-17 |
| 1225087786 | Marion Vamc | General Acute Care Hospital | 1700 E 38th St, Marion, IN 46953-4568 | 2006-05-10 |
| 1568411791 | Marion Vamc | General Acute Care Hospital | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2006-05-06 |
| 1457309379 | Marion Vamc | Department of Veterans Affairs (VA) Pharmacy | 1700 E 38th St, Marion, IN 46953-4568 | 2006-05-04 |
| 1427016369 | Marion Vamc | Department of Veterans Affairs (VA) Pharmacy | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2006-05-02 |
| Street Address |
3401 N MORRISON RD |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304-5568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427676501 | Molly Dirrim | Dietitian, Registered | 3401 N Morrison Rd, Muncie, IN 47304-5568 | 2020-07-06 |
| 1750394367 | Pradeep Gupta | Internal Medicine | 3401 N Morrison Rd, Muncie, IN 47304-5568 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
| Find all providers in zip 47304 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042869 | Indianapolis Vamc | Clinic/Center | 300 Highway 361 Ste 2516, Crane, IN 47522-4000 | 2020-01-21 |
| 1164992897 | Indianapolis Vamc | Clinic/Center | 5315 Lafayette Rd, Indianapolis, IN 46254-1618 | 2018-11-26 |
| 1508219858 | Marion Vamc | Clinic/Center | 340 Columbia Place, South Bend, IN 46601-2339 | 2016-07-21 |
| 1346629367 | Marion Vamc | Clinic/Center | 2500 E State Blvd, Fort Wayne, IN 46805-4728 | 2015-05-22 |
| 1790173078 | Indianapolis Vamc | Clinic/Center | 1332 Arch Haven Avenue, Bloomington, IN 47403-2079 | 2015-01-08 |
| 1154719045 | Indianapolis Vamc | Clinic/Center | 777 N Meridian St Ste 200, Indianapolis, IN 46204-1420 | 2014-12-31 |
| 1982092870 | Indianapolis Vamc | Clinic/Center | 4612 South Springhill Junction, Terre Haute, IN 47802-9998 | 2014-12-31 |
| 1720172174 | Va Hospital - Marion, In | Clinic/Center | 1700 East 38 Street, Marion, IN 46953 | 2006-10-02 |
| 1326087271 | Indianapolis Vamc | Clinic/Center | 380 W Honey Creek Dr, Terre Haute, IN 47802-3720 | 2006-06-06 |
| 1003854183 | Dayton Vamc | Clinic/Center | 1010 N J St, Richmond, IN 47374-1911 | 2006-06-02 |
| 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.