OMAHA VAMC (NPI# 1821312109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821312109 |
| Entity Type | Organization |
| Organization Name | OMAHA VAMC |
| Other Organization Name | KNOXVILLE VA CLINIC |
| Practice Address |
1607 N Lincoln St Knoxville IA 50138-3455 |
| Mailing Address |
Po Box 94460 Cleveland OH 44101-4460 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2010-03-16 |
| 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 |
| Other Name | Type Code |
|---|---|
| KNOXVILLE VA CLINIC | Other Name - Individual/Organization |
| 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 |
| 1811149529 | Omaha Vamc | Clinic/Center | 512 S Fremont St, Shenandoah, IA 51601-1508 | 2008-10-14 |
| 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 |
| Street Address |
1607 N LINCOLN ST |
| City | KNOXVILLE |
| State | IA |
| Zip Code | 50138-3455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235199571 | Jane M. Gandy | Physician Assistant | 1607 N Lincoln St, Knoxville, IA 50138 | 2006-03-23 |
| 1548876550 | Addison Duane Collard | Physical Therapist | 1607 N Lincoln St, Knoxville, IA 50138-3455 | 2020-09-16 |
| 1154957348 | Alexa Michelle Peterson | Registered Nurse | 1607 N Lincoln St, Knoxville, IA 50138-3455 | 2020-03-19 |
| 1013562958 | Kathryn Sharp | Psychologist | 1607 N Lincoln St, Knoxville, IA 50138-3455 | 2019-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639726607 | Janice Rankin | Technician | 1130 180th Ave, Knoxville, IA 50138 | 2019-08-23 |
| 1255547832 | Margaret Elaine Ragner | Counselor | 104 South 6th, Knoxville, IA 50138 | 2007-05-14 |
| 1316161839 | Homestead of Knoxville Operations LLC | Assisted Living Facility | 908 South Park Lane Drive, Knoxville, IA 50138 | 2007-04-13 |
| 1811066806 | Travis J Egesdal | Dentist | 112 S 1st St, Knoxville, IA 50138 | 2006-11-06 |
| 1760583520 | Kathryn E De Zwarte | Social Worker | 1515 W Pleasant, Knoxville, IA 50138 | 2006-09-26 |
| 1821199365 | Scotty Thomas Hagan | Social Worker | 1515 West Pleasant, Knoxville, IA 50138 | 2006-09-26 |
| 1629175427 | Alicja Marta Pauler | General Practice | 1515 Pleasant St, Knoxville, IA 50138 | 2006-09-20 |
| 1437642071 | Rocky Mountain Holdings, LLC | Ambulance | 1545 Highway 14, Knoxville, IA 50138 | 2018-06-08 |
| 1427428143 | Jennifer Lorayne Coxe | Nurse Practitioner | 1202 W Howard St, Knoxville, IA 50138 | 2015-10-07 |
| 1821478439 | Jennifer Elkin | Family Medicine | 1208 N Lincoln St, Knoxville, IA 50138 | 2015-06-09 |
| Find all providers in zip 50138 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922544394 | Mountain Home Vamc | Clinic/Center | 1521 Downtown West Blvd, Knoxville, TN 37919-5407 | 2017-01-10 |
| 1417345554 | Mountain Home Vamc | Clinic/Center | 1557 Downtown West Blvd, Knoxville, TN 37919-5407 | 2014-12-23 |
| 1235316928 | Mountain Home Vamc | Clinic/Center | 8033 Ray Mears Blvd, Knoxville, TN 37919-5458 | 2008-01-25 |
| 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 |
| 1811149529 | Omaha Vamc | Clinic/Center | 512 S Fremont St, Shenandoah, IA 51601-1508 | 2008-10-14 |
| 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 |
| 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.