VA MEDICAL CENTER (NPI# 1669550117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669550117 |
| Entity Type | Organization |
| Organization Name | VA MEDICAL CENTER |
| Practice Address |
3701 Loop Rd Tuscaloosa AL 35404-5015 |
| Mailing Address |
4435 Monte Vista Cir Tuscaloosa AL 35405-4632 |
| Practice Telephone | 2055542000 |
| Mailing Telephone | 2055563993 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WAYNE C WILSON (KINESIOTHERAPIST) |
| Authorized Official Telephone | 2055543797 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245785179 | Va Medical Center | Military Hospital | 5939 Cedros Ave Apt A, Van Nuys, CA 91411-3104 | 2016-08-21 |
| 1104216332 | Va Medical Center | Military Hospital | 10707 W Interstate 10 Apt 436, San Antonio, TX 78230-1674 | 2015-01-26 |
| 1295178796 | Va Medical Center | Military Hospital | 16 Charles St, 3rd Floor, Lincoln, RI 02865-1906 | 2013-04-15 |
| 1487905311 | Va Medical Center | General Acute Care Hospital | 292 Sherwood Dr, Huntington, WV 25704-9460 | 2012-10-02 |
| 1033479316 | Va Medical Center | Chronic Disease Hospital | 500 Trinity Ln N Apt 5204, St Petersburg, FL 33716-1236 | 2012-05-21 |
| 1134495682 | Va Medical Center | General Acute Care Hospital | 5015 S Desoto Ct, New Berlin, WI 53151-7664 | 2012-03-29 |
| 1386952893 | Va Medical Center | General Acute Care Hospital | 6208 Krandon Drive, Raleigh, NC 27603-4928 | 2010-09-17 |
| 1093049520 | Va Medical Center | Military Hospital | 5416 Orange Valley Dr, Lakeland, FL 33813-2649 | 2009-09-30 |
| 1275784050 | Va Medical Center | Skilled Nursing Facility | 236 Pochin Pl, Hampton, VA 23661-2902 | 2008-10-10 |
| 1154587475 | Va Medical Center | General Acute Care Hospital | 4001 24th Ave W, Seattle, WA 98199-1505 | 2008-08-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VA MEDICAL CENTER | 4101 Woolworth Ave, Omaha, NE 68105-1850 |
| System for Award Management (SAM) Entities | VA MEDICAL CENTER 581/90C | 1540 Spring Valley Dr, Huntington, WV 25704-9300 |
| Street Address |
3701 LOOP RD |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35404-5015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690832 | Deidre Clark | Pharmacist | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2005-06-23 |
| 1972100089 | John Morris Little | Counselor | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-10-02 |
| 1790382927 | Shabrekia Shantelle Neal | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-10-01 |
| 1285241455 | Evelyn Jemison | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-30 |
| 1851908768 | Cierra Silver Ball | Registered Nurse | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-24 |
| 1952918971 | Sharon Amanda Prestridge | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-24 |
| 1972119022 | Lashaunda Renae Lark-darien | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-23 |
| 1598371676 | Toi Lynn Gordon | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-23 |
| 1629684824 | Jasmine Ruffin Colvin | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-22 |
| 1396351169 | Lameka Lashae Hunter | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942774146 | Dch Encore Rehabilitation, LLC | Clinic/Center | 1050 Ruby Tyler Parkwasy, Tuscaloosa, AL 35404 | 2019-01-22 |
| 1629465422 | Emily Dykes | Dietitian, Registered | 1000 13th St E Sted, Tuscaloosa, AL 35404 | 2015-04-20 |
| 1780075077 | Lesley Handjis | Nurse Practitioner | 1100 Ruby Tyler Parkway, Tuscaloosa, AL 35404 | 2015-02-09 |
| 1790128825 | Ryan Carl Morrison | Dentist | 1701 Mcfarland Blvd E Ste 122, Tuscaloosa, AL 35404 | 2013-04-08 |
| 1962745000 | Jay William Holliday | Kinesiotherapist | 3707 Loop Rd., Tuscaloosa Va Medical Center, Tuscaloosa, AL 35404 | 2013-03-27 |
| 1538305719 | John Phillip Long | Dentist | 1600 University Blvd E, Tuscaloosa, AL 35404 | 2008-12-18 |
| 1841441656 | Payless Optical Outlets, Inc | Technician/Technologist | 622 15th Street E., Tuscaloosa, AL 35404 | 2008-10-10 |
| 1346408291 | William Heflin Barton IIi | Emergency Medicine | 1718 Veterans Memorial Parkway, Tuscaloosa, AL 35404 | 2008-05-28 |
| 1629245931 | Louis T Payne | Obstetrics & Gynecology | 535 Jack Warner Parkway Ne, Suite I, Tuscaloosa, AL 35404 | 2008-05-15 |
| 1780746719 | Tuscaloosa Medical Associates | Internal Medicine | 1120 Ruby Tyler Parkway, Tuscaloosa, AL 35404 | 2006-12-15 |
| Find all providers in zip 35404 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146141 | Noland Hospital Tuscaloosa II, LLC | Long Term Care Hospital | 809 University Boulevard, East - 4th Floor, Tuscaloosa, AL 35401-2029 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336139401 | Clarke County Healthcare LLC | Long Term Care Hospital | 33700 Highway 43, Thomasville, AL 36784-3335 | 2005-10-28 |
| 1548267339 | Noland Hospital Montgomery II, LLC | Long Term Care Hospital | 1725 Pine St, 6th Floor, North Wing, Montgomery, AL 36106-1109 | 2005-07-07 |
| 1538166343 | Noland Hospital Anniston II, LLC | Long Term Care Hospital | 400 East 10th Street, Fl Oor 4th, Anniston, AL 36207-4716 | 2005-07-07 |
| 1831634989 | North Alabama Specialty Hospital | Long Term Care Hospital | 700 W Market St, 2 South, Athens, AL 35611-2457 | 2016-12-28 |
| 1548710197 | Infirmary Health | Long Term Care Hospital | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2016-10-06 |
| 1184047193 | Noland Specialty Hospital North Alabama, LLC | Long Term Care Hospital | 700 W Market St, 2nd Floor, Athens, AL 35611-2457 | 2014-01-27 |
| 1932407251 | Noland Hospital Shelby II, LLC | Long Term Care Hospital | 1000 1st St N, Alabaster, AL 35007-8703 | 2011-03-10 |
| 1902120413 | Noland Hospital Shelby, LLC | Long Term Care Hospital | 1000 1st St N, Third Floor, Alabaster, AL 35007-8703 | 2010-03-26 |
| 1437160157 | Infirmary Health Hospitals, Inc. | Long Term Care Hospital | 5600 Girby Rd, Mobile, AL 36693-3320 | 2006-08-10 |
| 1487652616 | Select Specialty Hospitals Inc | Long Term Care Hospital | 2010 Brookwood Medical Ctr Dr, 3rd Floor, Birmingham, AL 35209-6804 | 2005-07-12 |
| Find all providers with the same taxonomy | ||||
| City | TUSCALOOSA |
| Zip Code | 35404 |
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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.