PHOENIX VA HEALTHCARE SYSTEM (NPI# 1841538071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841538071 |
| Entity Type | Organization |
| Organization Name | PHOENIX VA HEALTHCARE SYSTEM |
| Practice Address |
232 S 12th Ave Phoenix AZ 85007-3101 |
| Mailing Address |
650 E Indian School Rd Phoenix AZ 85012-1839 |
| Practice Telephone | 6025107971 |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-03-20 |
| Authorized Official Name | MR. JOHN NELSON MCVADE JR. (SOCIAL WORKER) |
| Authorized Official Telephone | 6025107971 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | LMSW-13456 | AZ | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417496811 | Phoenix Va Healthcare System | Military Hospital | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2017-02-17 |
| Street Address |
232 S 12TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85007-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861017824 | Tembre Eliza Delong | Student in an Organized Health Care Education/Training Program | 230 South 12th Ave, Phoenix, AZ 85007 | 2020-06-15 |
| 1841706785 | Circle The City | Clinic/Center | 206 S 12th Ave, Phoenix, AZ 85007 | 2017-12-14 |
| 1922559624 | Community Bridges, Inc. | Community/Behavioral Health | 1125 W Jackson St, Phoenix, AZ 85007 | 2016-10-18 |
| 1912358045 | Isabel Victoria Rodriguez | Speech-Language Pathologist | 2302 North 15th Avenue, Phoenix, AZ 85007 | 2016-06-30 |
| 1730441825 | Sara Joyce Edmund | Nurse Practitioner | 1424 S 7th Avenue, Phoenix, AZ 85007 | 2012-06-13 |
| 1295781771 | Ilin Chuang | Pediatrics | 150 N. 18th Ave., Suite 150, Arizona Depart. of Health Services, Phoenix, AZ 85007 | 2006-05-26 |
| 1518924802 | Michael James Higbee | Physician Assistant | 1201 S. 7th Avenue, Suite 150, Phoenix, AZ 85007 | 2006-04-28 |
| 1942278676 | David Paul Brown | Emergency Medicine | 1201 S 7 Avenue, Phoenix, AZ 85007 | 2006-03-09 |
| 1265409759 | Carol D Watkins | Emergency Medicine | 1201 S 7th Avenue, Phoenix, AZ 85007 | 2006-03-02 |
| 1982695615 | Mary Pat Nesbit | Emergency Medicine | 1201 S 7th Ave, Phoenix, AZ 85007 | 2005-11-02 |
| Find all providers in zip 85007 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699222067 | Carl T. Hayden Va | Military Hospital | 2322 N 46th St, Phoenix, AZ 85008-2435 | 2016-09-02 |
| 1134512866 | Bonnie Susannah Mackey | Military Hospital | 18018 N 45th Pl, Phoenix, AZ 85032-1521 | 2015-03-05 |
| 1417496811 | Phoenix Va Healthcare System | Military Hospital | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2017-02-17 |
| 1255881330 | Phoenix Dva | Military Hospital | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2016-10-12 |
| 1275080319 | Phoenix Veterans Hospital | Military Hospital | 650 E Indian School Rd, Phoenix, AZ 85012 | 2016-09-07 |
| 1487993986 | Pvahcs | Military Hospital | 650 E Indian School Rd, L-104, Phoenix, AZ 85012-1839 | 2013-02-05 |
| 1366797334 | Departament of Veterans Affairs | Military Hospital | 650 East Indian School Road, Phoenix, AZ 85012-1892 | 2012-07-17 |
| 1013281096 | Department of Veterans Affairs | Military Hospital | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2012-03-08 |
| 1083928063 | Carl T Hayden Medical Center | Military Hospital | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2010-08-02 |
| 1417979899 | Carl T. Hayden Va Medical Center | Military Hospital | 650 E. Indian School Road, Phoenix, AZ 85012 | 2006-07-24 |
| Find all providers in PHOENIX | ||||
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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.