INDIANAPOLIS VAMC (NPI# 1831140417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831140417 |
| Entity Type | Organization |
| Organization Name | INDIANAPOLIS VAMC |
| Other Organization Name | BLOOMINGTON VA CLINIC |
| Practice Address |
2100 S Liberty Dr Bloomington IN 47403-5147 |
| Mailing Address |
Po Box 5303 Madison WI 53705-0303 |
| Practice Telephone | 6088217200 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2019-12-18 |
| 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 |
|---|---|
| Bloomington VA Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042869 | Indianapolis Vamc | Clinic/Center | 300 Highway 361 Ste 2516, Crane, IN 47522-4000 | 2020-01-21 |
| 1164992897 | Indianapolis Vamc | Clinic/Center | 5315 Lafayette Rd, Indianapolis, IN 46254-1618 | 2018-11-26 |
| 1831697598 | Indianapolis Vamc | Psychiatric Residential Treatment Facility | 9045 E 59th St Bldg 402, Indianapolis, IN 46216-1030 | 2018-01-29 |
| 1790173078 | Indianapolis Vamc | Clinic/Center | 1332 Arch Haven Avenue, Bloomington, IN 47403-2079 | 2015-01-08 |
| 1154719045 | Indianapolis Vamc | Clinic/Center | 777 N Meridian St Ste 200, Indianapolis, IN 46204-1420 | 2014-12-31 |
| 1982092870 | Indianapolis Vamc | Clinic/Center | 4612 South Springhill Junction, Terre Haute, IN 47802-9998 | 2014-12-31 |
| 1326087271 | Indianapolis Vamc | Clinic/Center | 380 W Honey Creek Dr, Terre Haute, IN 47802-3720 | 2006-06-06 |
| 1982662789 | Indianapolis Vamc | Department of Veterans Affairs (VA) Pharmacy | 1481 West 10th Street, Indianapolis, IN 46202 | 2006-05-02 |
| 1235625088 | Indianapolis Vamc | Clinic/Center | 30 W Rampart St, Shelbyville, IN 46176-8846 | 2018-07-05 |
| 1730682352 | Indianapolis Vamc | Clinic/Center | 2669 Cold Spring Rd, Indianapolis, IN 46222-6211 | 2018-03-09 |
| Street Address |
2100 S LIBERTY DR |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-5147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426709 | Danville Vamc | Clinic/Center | 207 E Hamilton Rd, Bloomington, IL 61704-7527 | 2019-09-19 |
| 1790173078 | Indianapolis Vamc | Clinic/Center | 1332 Arch Haven Avenue, Bloomington, IN 47403-2079 | 2015-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042869 | Indianapolis Vamc | Clinic/Center | 300 Highway 361 Ste 2516, Crane, IN 47522-4000 | 2020-01-21 |
| 1164992897 | Indianapolis Vamc | Clinic/Center | 5315 Lafayette Rd, Indianapolis, IN 46254-1618 | 2018-11-26 |
| 1508219858 | Marion Vamc | Clinic/Center | 340 Columbia Place, South Bend, IN 46601-2339 | 2016-07-21 |
| 1346629367 | Marion Vamc | Clinic/Center | 2500 E State Blvd, Fort Wayne, IN 46805-4728 | 2015-05-22 |
| 1154719045 | Indianapolis Vamc | Clinic/Center | 777 N Meridian St Ste 200, Indianapolis, IN 46204-1420 | 2014-12-31 |
| 1982092870 | Indianapolis Vamc | Clinic/Center | 4612 South Springhill Junction, Terre Haute, IN 47802-9998 | 2014-12-31 |
| 1720172174 | Va Hospital - Marion, In | Clinic/Center | 1700 East 38 Street, Marion, IN 46953 | 2006-10-02 |
| 1326087271 | Indianapolis Vamc | Clinic/Center | 380 W Honey Creek Dr, Terre Haute, IN 47802-3720 | 2006-06-06 |
| 1003854183 | Dayton Vamc | Clinic/Center | 1010 N J St, Richmond, IN 47374-1911 | 2006-06-02 |
| 1649217027 | Marion Vamc | Clinic/Center | 3401 N Morrison Rd, Muncie, IN 47304-5568 | 2006-06-02 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
Please comment or provide details below to improve the information on INDIANAPOLIS 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.