WILKES BARRE VAMC (NPI# 1740224971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740224971 |
| Entity Type | Organization |
| Organization Name | WILKES BARRE VAMC |
| Other Organization Name | TOBYHANNA VA CLINIC |
| Practice Address |
Tobyhanna Army Depot Bldg 220 Tobyhanna PA 18466-5002 |
| Mailing Address |
Po Box 3009 Lebanon PA 17042-3009 |
| Practice Telephone | 7172776565 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2015-09-29 |
| 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 |
|---|---|
| Tobyhanna VA Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922059591 | Wilkes Barre Vamc | Clinic/Center | 26 Columbia Mall Drive, Bloomsburg, PA 17815-9998 | 2006-05-16 |
| 1205209822 | Wilkes Barre Vamc | Clinic/Center | 600 Maple Ave Ste 2, Honesdale, PA 18431-1436 | 2015-11-04 |
| 1366639973 | Wilkes Barre Vamc | Clinic/Center | 701 Slate Belt Blvd, Bangor, PA 18013-9341 | 2007-09-27 |
| 1750321527 | Wilkes Barre Vamc | Clinic/Center | 1705 Warren Ave, 3rd Floor (suite 304), Williamsport, PA 17701-2647 | 2006-06-08 |
| 1669410262 | Wilkes Barre Vamc | Clinic/Center | 1537 Elmira St, Sayre, PA 18840-9254 | 2006-06-04 |
| 1053362145 | Wilkes Barre Vamc | Clinic/Center | 3110 Hamilton Blvd, Allentown, PA 18103-3672 | 2006-05-13 |
| 1952351967 | Wilkes Barre Vamc | General Acute Care Hospital | 1111 E End Blvd, #17a, Wilkes Barre, PA 18711-0030 | 2006-05-11 |
| 1144278342 | Wilkes Barre Vamc | Department of Veterans Affairs (VA) Pharmacy | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2006-05-04 |
| Street Address |
TOBYHANNA ARMY DEPOT BLDG 220 |
| City | TOBYHANNA |
| State | PA |
| Zip Code | 18466-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718061 | Katelyn Mckillop | Physician Assistant | 5074 Seneca Way, Tobyhanna, PA 18466 | 2020-07-24 |
| 1508330663 | Devereux Foundation | Day Training, Developmentally Disabled Services | 11 Carriage Square, Tobyhanna, PA 18466 | 2019-01-11 |
| 1144743873 | Luisa Tieso | Psychologist | 6167 Somers Terr, Tobyhanna, PA 18466 | 2017-07-25 |
| 1982087797 | Patricia Detrick | Physical Therapy Assistant | 100 Communtiy Drive, Suite 105, Tobyhanna, PA 18466 | 2015-06-30 |
| 1376959569 | Mountain Valley Orthopedics PC | Pharmacy | 100 Community Drive Stuite 210, Tobyhanna, PA 18466 | 2014-07-08 |
| 1346674975 | Michelle Backus | Social Worker | 633 Lakeside Drive, Tobyhanna, PA 18466 | 2013-08-30 |
| 1205107067 | Sharon and Cynthia | Home Health | 9249 Westwood Dr, Tobyhanna, PA 18466 | 2012-01-25 |
| 1689942260 | Family Care Centers, Inc. | Internal Medicine | 100 Community Drive, Suite 102, Tobyhanna, PA 18466 | 2011-12-09 |
| 1942599063 | Diane Latosek | Pharmacist | 12 Carriage Square, Tobyhanna, PA 18466 | 2011-03-29 |
| 1588763841 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 11 Hap Amold Blvd, Tobyhanna, PA 18466 | 2006-09-22 |
| Find all providers in zip 18466 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407316219 | Philadelphia Va Medical Center | Clinic/Center | 6232 Market St Ste 100, Philadelphia, PA 19139-2922 | 2019-03-20 |
| 1184012684 | Lebanon Vamc | Clinic/Center | 1 Garrison Rd, Building 4-114 Fort Indiantown Gap, Annville, PA 17003-5061 | 2015-01-06 |
| 1134517360 | Philadelphia Vamc | Clinic/Center | 4219 Chestnut St, Philadelphia, PA 19104-3014 | 2014-12-22 |
| 1659779254 | Buffalo Vamc | Clinic/Center | 24 Maple View Ln, Suite 2, Coudersport, PA 16915-9527 | 2014-12-12 |
| 1851644967 | Altoona Vamc | Clinic/Center | 13903 William Penn Hwy, Mapleton Depot, PA 17052-9649 | 2012-10-26 |
| 1841340015 | Warren Cboc | Clinic/Center | 3 Farm Colony Dr, Warren, PA 16365-5209 | 2007-01-11 |
| 1184771123 | Pittsburgh Vamc | Clinic/Center | 635 Pittsburgh Rd, Suite 520, Uniontown, PA 15401-2215 | 2007-01-04 |
| 1659315380 | Philadelphia Va Clinic | Clinic/Center | 214 North 4th St., 2nd Floor, Philadelphia, PA 19106 | 2006-06-15 |
| 1376585588 | Butler Vamc | Clinic/Center | 11 Hilltop Plz, Kittanning, PA 16201-8905 | 2006-06-12 |
| 1134168032 | Altoona Vamc | Clinic/Center | 2581 Clyde Avenue, State College, PA 16801-9998 | 2006-06-06 |
| 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.