JOHN D DINGELL VA MEDICAL CENTER


Address: 4646 John R St, Detroit, MI 48201-1916
Phone: 3135761000

JOHN D DINGELL VA MEDICAL CENTER (NPI# 1699918920) 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) 1699918920
Entity Type Organization
Organization Name JOHN D DINGELL VA MEDICAL CENTER
Practice Address 4646 John R St
Detroit
MI 48201-1916
Practice Telephone 3135761000
Practice Fax Number 3135761091
Mailing Telephone 3135761000
Mailing Fax Number 3135761091
Enumeration Date 2009-04-16
Last Update Date 2009-04-16
Authorized Official Name MRS. BETH ANN SACKS (SUICIDE PREVENTION CASE MANAGER)
Authorized Official Telephone 3135761000
Authorized Official Credential LMSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 286500000X Military Hospital 4801080039 MI Hospitals

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1851717052 John D Dingell Va Medical Center Military Hospital 4646 John R St, Detroit, MI 48201-1916 2014-03-12

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities JOHN D DINGELL VA MEDICAL CENTER 4646 John R St, Detroit, MI 48201-1916

Office Location

Street Address 4646 JOHN R ST
City DETROIT
State MI
Zip Code 48201-1916

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356344121 Christopher Emil Hermann Nurse Practitioner 4646 John R St, Detroit, MI 48201-1916 2005-05-24
1881293892 Derrick Williams Registered Nurse 4646 John R St, Detroit, MI 48201-1916 2020-10-21
1598371544 Sonia Govil Dietitian, Registered 4646 John R St, Detroit, MI 48201-1916 2020-09-16
1740893569 Nicholas Edward Peters Pharmacist 4646 John R St, Detroit, MI 48201-1916 2020-08-31
1710597455 Amber Michelle Young Social Worker 4646 John R St, Detroit, MI 48201-1916 2020-08-07
1104434471 Zeinab H Moussa Pharmacist 4646 John R St, Detroit, MI 48201-1916 2020-07-22
1235747346 Samantha Beth Lewis Psychologist 4646 John R St, Detroit, MI 48201-1916 2020-07-15
1477171189 Rima Mohammad Fardos Pharmacist 4646 John R St, Detroit, MI 48201-1916 2020-07-09
1992323869 Sarah F Waqhar Student in an Organized Health Care Education/Training Program 4646 John R St, Detroit, MI 48201-1916 2020-07-08
1619594181 Mellisa Ann Boyle Student in an Organized Health Care Education/Training Program 4646 John R St, Detroit, MI 48201-1916 2020-07-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
Find all providers in zip 48201

Taxonomy Information

Taxonomy Code 286500000X
Grouping Hospitals
Classification Military Hospital

Taxonomy Definition

A health care facility operated by the Department of Defense.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275991275 John D. Dingell Va Medical Center Military Hospital 4646 John R St, 11mh, Detroit, MI 48201-1916 2016-02-04
1851717052 John D Dingell Va Medical Center Military Hospital 4646 John R St, Detroit, MI 48201-1916 2014-03-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124124508 Aleda E. Luta Veterans Administration Medical Center Military Hospital 10295 Sarle Rd, Freeland, MI 48623-9012 2006-09-15
1518398791 Aleda E. Lutz Va Medical Center Military Hospital 1500 Weiss St, Saginaw, MI 48602-5251 2013-12-12
1841636149 Ann Arbor Va Military Hospital 2215 Fuller Rd, Ann Arbor, MI 48105-2303 2013-05-14
1699939470 Marilyn Jean Donahue Military Hospital 2215 Fuller Rd, Ann Arbor, MI 48105-2303 2008-07-11

Competitor

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City DETROIT
Zip Code 48201

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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