MEMPHIS VAMC (NPI# 1649401316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649401316 |
Entity Type | Organization |
Organization Name | MEMPHIS VAMC |
Other Organization Name | WEST HELENA VA CLINIC |
Practice Address |
125 Quarles Ln West Helena AR 72390-1923 |
Mailing Address |
Po Box 94511 Cleveland OH 44101 |
Practice Telephone | 6153553451 |
Mailing Telephone | 6153553451 |
Enumeration Date | 2009-07-29 |
Last Update Date | 2019-08-07 |
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 |
---|---|
Helena VA CBOC | Other Name - Individual/Organization |
WEST HELENA VA CLINIC | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1619923398 | Memphis Vamc | Clinic/Center | 2908 S Caraway Rd Ste B, Jonesboro, AR 72401-7306 | 2006-05-25 |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MEMPHIS VAMC | 1030 Jefferson Ave, Memphis, TN 38104-2127 |
Street Address |
125 QUARLES LN |
City | WEST HELENA |
State | AR |
Zip Code | 72390-1923 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184911471 | Hra | Exclusive Provider Organization | 2426 Hwy 49, West Helena, AR 72390 | 2011-07-07 |
1417037383 | Dorothy L. Jones-michel | Nurse Practitioner | 110 Shirley Hicks/hwy 49, West Helena, AR 72390 | 2006-10-16 |
1134730005 | Lauren Reeves | Nurse Practitioner | 1393 Highway 242 South, West Helena, AR 72390 | 2020-08-13 |
1336351287 | Elizabeth Chiley Bartlett | Speech-Language Pathologist | 1221 W Highway 49, West Helena, AR 72390-1716 | 2007-05-04 |
1215015615 | Quality Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 1239 W Highway 49, West Helena, AR 72390-1716 | 2006-11-02 |
1295270163 | Emola Clemons | Specialist/Technologist | 1221 W Highway 49, West Helena, AR 72390-1716 | 2016-12-30 |
1073761714 | Akbar Somani | Physical Therapy Assistant | 1221 W Highway 49, West Helena, AR 72390-1716 | 2008-09-06 |
1508079831 | Phillips County Developmental Center | Clinic/Center | 1221 W Highway 49, West Helena, AR 72390-1716 | 2007-05-07 |
1952619306 | John Burt Ragland | Pharmacist | 826 N Sebastian, West Helena, AR 72390-1821 | 2010-09-20 |
1255416244 | Elaine Pharmacy Inc | Pharmacist | 806 N Sebastian, West Helena, AR 72390-1821 | 2006-10-26 |
Find all providers in zip 72390 |
Taxonomy Code | 261QV0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | VA |
Definition to come... |
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 |
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 |
1619923398 | Memphis Vamc | Clinic/Center | 2908 S Caraway Rd Ste B, Jonesboro, AR 72401-7306 | 2006-05-25 |
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 |
City | WEST HELENA |
Zip Code | 72390 |
Please comment or provide details below to improve the information on MEMPHIS VAMC.
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.