OMAHA VAMC (NPI# 1811149529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811149529 |
| Entity Type | Organization |
| Organization Name | OMAHA VAMC |
| Practice Address |
512 S Fremont St Shenandoah IA 51601-1508 |
| Mailing Address |
Po Box 94460 Cleveland OH 44101-4460 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2018-01-16 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063961670 | Omaha Vamc | Clinic/Center | 415 N. Perry Street, Davenport, IA 52801-1617 | 2016-09-23 |
| 1093105207 | Omaha Vamc | Clinic/Center | 825 Dorcas St, Suite 200, Omaha, NE 68108-1160 | 2015-01-26 |
| 1700276920 | Omaha Vamc | Clinic/Center | 1535 1st Ave Se, Cedar Rapids, IA 52402-5123 | 2015-01-26 |
| 1558778514 | Omaha Vamc | Clinic/Center | 520 10th Avenue, Suite 100, Coralville, IA 52241-1910 | 2014-07-22 |
| 1376817148 | Omaha Vamc | Clinic/Center | 915 Short St, Decorah, IA 52101-2412 | 2012-02-27 |
| 1851660724 | Omaha Vamc | Clinic/Center | 406 Avenue C, Sterling, IL 61081-3407 | 2011-12-22 |
| 1417182395 | Omaha Vamc | Clinic/Center | 3500 Dalton Way Sw Ste 300, Cedar Rapids, IA 52404-2564 | 2009-05-21 |
| 1134169592 | Omaha Vamc | Clinic/Center | 945 Tower Park Dr, Waterloo, IA 50701-9098 | 2006-06-07 |
| 1841238474 | Omaha Vamc | Clinic/Center | 300 E 3rd St Ste 302, North Platte, NE 69101-4000 | 2006-06-04 |
| 1629016845 | Omaha Vamc | Clinic/Center | 6020 Broadway St, Quincy, IL 62305-7919 | 2006-06-02 |
| Street Address |
512 S FREMONT ST |
| City | SHENANDOAH |
| State | IA |
| Zip Code | 51601-1508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205180379 | Jennifer L Bass | Dietitian, Registered | 512 S Fremont St, Shenandoah, IA 51601-1508 | 2012-10-29 |
| 1811130792 | David W. Shane | Social Worker | 512 S Fremont St, Orchard Corners 150-160, Shenandoah, IA 51601-1508 | 2009-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336589969 | Jenifer Ann Deziel | Nurse Practitioner | Shenandoah Medical Center, 300 Pershing Avenue, Shenandoah, IA 51601 | 2013-06-27 |
| 1154621282 | Md West One, PC | Neurological Surgery | 1 Jack Foster Drive, Shenandoah, IA 51601 | 2010-10-22 |
| 1912119124 | Swfac Plc | Podiatrist | 813 Church St., Shenandoah, IA 51601 | 2007-05-03 |
| 1134246895 | David Carroll Dickson | Pedorthist | 612 W. Sheridan Avenue, Shenandoah, IA 51601 | 2007-03-26 |
| 1558433037 | Joseph Patrick Emge | Dentist | 301 Maple St, Suite 3, Shenandoah, IA 51601 | 2006-11-14 |
| 1487766309 | Scott Richard King | Obstetrics & Gynecology | 300 Pershing Avenue, Shenandoah, IA 51601 | 2006-08-31 |
| 1801904933 | Marvin E Belknap | Dentist | 617 West Thomas, Shenandoah, IA 51601 | 2006-08-28 |
| 1083687636 | Charles J Peterson Dc PC | Chiropractor | 1203 W Sheridan Ave, Shenandoah, IA 51601 | 2006-02-13 |
| 1467692152 | Carol A Stehlik | Nutritionist | 300 Pershing Avenue, Shenandoah, IA 51601-0382 | 2009-02-20 |
| 1265526248 | Nishna Productions, Inc. | Community/Behavioral Health | 902 Day St, Shenandoah, IA 51601-1106 | 2006-10-03 |
| Find all providers in zip 51601 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063961670 | Omaha Vamc | Clinic/Center | 415 N. Perry Street, Davenport, IA 52801-1617 | 2016-09-23 |
| 1700276920 | Omaha Vamc | Clinic/Center | 1535 1st Ave Se, Cedar Rapids, IA 52402-5123 | 2015-01-26 |
| 1558778514 | Omaha Vamc | Clinic/Center | 520 10th Avenue, Suite 100, Coralville, IA 52241-1910 | 2014-07-22 |
| 1376817148 | Omaha Vamc | Clinic/Center | 915 Short St, Decorah, IA 52101-2412 | 2012-02-27 |
| 1417182395 | Omaha Vamc | Clinic/Center | 3500 Dalton Way Sw Ste 300, Cedar Rapids, IA 52404-2564 | 2009-05-21 |
| 1881874337 | Sioux Falls Vamc | Clinic/Center | 1850 Royal Avenue, Dickinson County Courtyard, Spirit Lake, IA 51360-9998 | 2007-11-13 |
| 1134169592 | Omaha Vamc | Clinic/Center | 945 Tower Park Dr, Waterloo, IA 50701-9098 | 2006-06-07 |
| 1346293818 | Omaha Vamc | Clinic/Center | 2600 Dodge St Ste A1, Dubuque, IA 52003-7159 | 2006-05-18 |
| 1861443590 | Omaha Vamc | Clinic/Center | 2826 W Locust St, Davenport, IA 52804-3354 | 2006-05-15 |
| 1346710696 | Omaha Vamc | Clinic/Center | 400 S Clinton St, Iowa City, IA 52240-4105 | 2018-11-29 |
| Find all providers with the same taxonomy | ||||
| City | SHENANDOAH |
| Zip Code | 51601 |
Please comment or provide details below to improve the information on OMAHA 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.