OKLAHOMA CITY VAMC (NPI# 1720615610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720615610 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA CITY VAMC |
| Practice Address |
2640 Miner Road Suite 2640 Fort Sill OK 73503-8889 |
| Mailing Address |
Po Box 94537 Cleveland OH 44101-4537 |
| Practice Telephone | 6153553451 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |
| Authorized Official Name | ERIN DENISE POTTER (NPI TEAM LEAD) |
| 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 |
|---|---|
| FORT SILL VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157065 | Oklahoma City Vamc | Clinic/Center | 1808 Commons Cir Ste B, Yukon, OK 73099-9518 | 2020-09-01 |
| 1598391716 | Oklahoma City Vamc | Clinic/Center | 7050 Air Depot Blvd Ste 1094, Tinker Afb, OK 73145-8716 | 2020-03-19 |
| 1215572656 | Oklahoma City Vamc | Clinic/Center | 315 W Gary Blvd, Clinton, OK 73601-2835 | 2019-11-08 |
| 1750583563 | Oklahoma City Vamc | Department of Veterans Affairs (VA) Pharmacy | 4303 Pittman & Thomas Road, Bldg 4303, Fort Sill, OK 73503-4473 | 2007-06-04 |
| 1982738852 | Oklahoma City Vamc | Clinic/Center | 717 Better Now Plz, Ada, OK 74820-2279 | 2007-03-15 |
| 1578506382 | Oklahoma City Vamc | Clinic/Center | 4303 Pitman and Thomas Road, Building 4303, Fort Sill, OK 73503-4473 | 2006-06-13 |
| 1275573016 | Oklahoma City Vamc | Clinic/Center | 2600 Central Fwy Ste 180, Wichita Falls, TX 76306-2850 | 2006-06-08 |
| 1780635128 | Oklahoma City Vamc | Clinic/Center | 1235 12th Ave Nw, Ardmore, OK 73401-1578 | 2006-05-12 |
| 1568076313 | Oklahoma City Vamc | Clinic/Center | 1020 24th Ave Nw, Norman, OK 73069-6341 | 2020-08-31 |
| 1104308824 | Oklahoma City Vamc | Clinic/Center | 1301 Ne 14th St, Oklahoma City, OK 73117-2018 | 2018-08-29 |
| Street Address |
2640 MINER ROAD SUITE 2640 |
| City | FORT SILL |
| State | OK |
| Zip Code | 73503-8889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824446 | Alex Boyd | Dentist | U.S.A. Dental Health Activity, 652 Hamilton Road, Fort Sill, OK 73503 | 2020-06-01 |
| 1588145031 | Dustin Davis | Dentist | Usa Dental Health Activity 652 Hamilton Rd., Fort Sill, OK 73503 | 2018-08-23 |
| 1578086492 | Austin Kent Brown | Dentist | Usa Dental Activity 652 Hamilton Rd., Fort Sill, OK 73503 | 2017-07-23 |
| 1083155998 | Michael Gagliano | Physician Assistant | 4301 Wilson Street, Attn: Mcua-qm Credentials, Reynolds Army Health Clinic, Fort Sill, OK 73503 | 2017-03-10 |
| 1619428885 | Kristi Ann Putnam | Registered Nurse | Sgt Bleak Troop Medical Clinic, 6039 Berry Street, Fort Sill, OK 73503 | 2016-10-21 |
| 1003265901 | Lucy Muller | Registered Nurse | 4301 Wilson Road, Ft Sill, OK 73503 | 2016-06-10 |
| 1356740146 | Gregory B Kiene | Dentist | 642 Hamilton Rd, Usa Dental Activity, Fort Sill, OK 73503 | 2014-08-18 |
| 1245664143 | Tina L Gray | Dentist | 652 Hamilton Road, Suite 210, Fort Sill Dentac, Fort Sill, OK 73503 | 2013-08-27 |
| 1720410533 | Katherine Loi | Dentist | 652 Hamilton Rd, Fort Sill Dentac, Suite 210, Fort Sill, OK 73503 | 2013-08-02 |
| 1649539081 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Bldg. 1716, Gruber Road, Fort Sill, OK 73503 | 2012-05-04 |
| Find all providers in zip 73503 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578506382 | Oklahoma City Vamc | Clinic/Center | 4303 Pitman and Thomas Road, Building 4303, Fort Sill, OK 73503-4473 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157065 | Oklahoma City Vamc | Clinic/Center | 1808 Commons Cir Ste B, Yukon, OK 73099-9518 | 2020-09-01 |
| 1598391716 | Oklahoma City Vamc | Clinic/Center | 7050 Air Depot Blvd Ste 1094, Tinker Afb, OK 73145-8716 | 2020-03-19 |
| 1215572656 | Oklahoma City Vamc | Clinic/Center | 315 W Gary Blvd, Clinton, OK 73601-2835 | 2019-11-08 |
| 1184116857 | Muskogee Vamc | Clinic/Center | 5110 S Yale Ave Ste 200, Tulsa, OK 74135-7475 | 2018-05-30 |
| 1851815294 | Muskogee Vamc | Clinic/Center | 901 Se Washington St, Idabel, OK 74745-3333 | 2017-07-27 |
| 1326436676 | Muskogee Vamc | Clinic/Center | 2414 E Shawnee Rd, Muskogee, OK 74403-1530 | 2015-01-08 |
| 1740517275 | Muskogee Vamc | Clinic/Center | 269 S 7th St, Vinita, OK 74301-3737 | 2009-11-04 |
| 1982738852 | Oklahoma City Vamc | Clinic/Center | 717 Better Now Plz, Ada, OK 74820-2279 | 2007-03-15 |
| 1780635128 | Oklahoma City Vamc | Clinic/Center | 1235 12th Ave Nw, Ardmore, OK 73401-1578 | 2006-05-12 |
| 1568076313 | Oklahoma City Vamc | Clinic/Center | 1020 24th Ave Nw, Norman, OK 73069-6341 | 2020-08-31 |
| 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.