DANVILLE VAMC (NPI# 1861725699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861725699 |
| Entity Type | Organization |
| Organization Name | DANVILLE VAMC |
| Other Organization Name | MATTOON VA CLINIC |
| Practice Address |
501 Lake Land Blvd Mattoon IL 61938 |
| Mailing Address |
Po Box 5088 Madison WI 53705-0088 |
| Practice Telephone | 6088217200 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2018-07-17 |
| 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 |
|---|---|
| MATTOON VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426709 | Danville Vamc | Clinic/Center | 207 E Hamilton Rd, Bloomington, IL 61704-7527 | 2019-09-19 |
| 1124071881 | Danville Vamc | Clinic/Center | 792 N Sunnyside Rd, Decatur, IL 62522-1156 | 2006-05-17 |
| 1134163736 | Danville Vamc | Clinic/Center | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2006-06-15 |
| 1427098243 | Danville Vamc | Clinic/Center | 3851 N River Rd, West Lafayette, IN 47906-3762 | 2006-06-08 |
| 1235177973 | Danville Vamc | Clinic/Center | 5850 S 6th Street Rd, Frontage Road East - Suite A, Springfield, IL 62703-5162 | 2006-06-03 |
| 1326097163 | Danville Vamc | General Acute Care Hospital | 1900 E Main St, Danville, IL 61832-5100 | 2006-05-09 |
| 1336197284 | Danville Vamc | Department of Veterans Affairs (VA) Pharmacy | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2006-05-04 |
| 1508824418 | Danville Vamc | Department of Veterans Affairs (VA) Pharmacy | 1900 E Main St, Danville, IL 61832-5100 | 2006-05-02 |
| Street Address |
501 LAKE LAND BLVD |
| City | MATTOON |
| State | IL |
| Zip Code | 61938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497924914 | Janis L Wolf | Social Worker | 501 Lake Land Blvd, Mattoon, IL 61938-5283 | 2008-02-28 |
| 1306349469 | Andrea Kay Brettin | Dietitian, Registered | 501 Lake Land Blvd, Mattoon, IL 61938-5283 | 2018-03-15 |
| 1629453097 | James Kevin Gilligan Jr. | Dietitian, Registered | 501 Lake Land Blvd, Mattoon, IL 61938-5283 | 2015-07-27 |
| 1316242233 | Ellen C Homann | Dietitian, Registered | 501 Lake Land Blvd, Suite D, Mattoon, IL 61938-5283 | 2011-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831134 | St Anthony's Memorial Hospital of The Hospital Sisters of The Third Or | Clinic/Center | 101 Coles Centre Pkwy, Ste 101, Mattoon, IL 61938 | 2020-04-30 |
| 1215436449 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 300 Coles Centre Pkwy, Mattoon, IL 61938 | 2018-02-02 |
| 1841707726 | Mattoon Chiropractic LLC | Chiropractor | 905 Remington Rd, Mattoon, IL 61938 | 2018-01-02 |
| 1164892758 | Dr. Charles L. Schnibben Ltd. | Dentist | 1502 Lakeland Blvd, Mattoon, IL 61938 | 2015-09-25 |
| 1982000139 | Judy A. Clark | Hearing Instrument Specialist | 1302 Charleston Avenue, Audibel Hearing Aids, Mattoon, IL 61938 | 2014-11-17 |
| 1023419884 | Christopher Steven Lillie | Physician Assistant | 200 Richmond Ave East, Family Medical Center, Mattoon, IL 61938 | 2014-09-11 |
| 1295055168 | Jennifer Harp | Mechanotherapist | 232 Richmond Ave East, Mattoon, IL 61938 | 2010-06-02 |
| 1447482682 | Gene Clark Hearing Aid Service | Hearing Aid Equipment | 208 Wabash, Mattoon, IL 61938 | 2009-08-21 |
| 1326229774 | Central Illinois Family Health Center | Nurse Practitioner | 10555 East County Rd 800 North, Mattoon, IL 61938 | 2007-11-14 |
| 1568656445 | Bernie Ranchero | Family Medicine | 1004 Health Center Dr Ste 210, Mattoon, IL 61938 | 2007-09-04 |
| Find all providers in zip 61938 | ||||
| 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 |
| 1437636966 | Miracle Healthcare LLC | Clinic/Center | 2024 Hickory Rd Ste 306, Homewood, IL 60430 | 2018-07-26 |
| 1558751776 | St. Louis Jc Vamc | Clinic/Center | 3403 Heartland Street, Marion, IL 62959-6393 | 2015-01-26 |
| 1669860458 | Chicago Vamc | Clinic/Center | 1141 South California Avenue, Chicago, IL 60608-9998 | 2014-12-31 |
| 1992067995 | St. Louis Jc Vamc | Clinic/Center | 1130 E Walnut St, Suite 100, Carbondale, IL 62901-5007 | 2012-06-14 |
| 1497012652 | St. Louis Jc Vamc | Clinic/Center | 608 Rollie Moore Drive, Harrisburg, IL 62946-9998 | 2012-04-12 |
| 1851660724 | Omaha Vamc | Clinic/Center | 406 Avenue C, Sterling, IL 61081-3407 | 2011-12-22 |
| 1902840622 | St. Louis Jc Vamc | Clinic/Center | 4105 N Water Tower Pl, Mount Vernon, IL 62864-6296 | 2006-06-15 |
| 1629016845 | Omaha Vamc | Clinic/Center | 6020 Broadway St, Quincy, IL 62305-7919 | 2006-06-02 |
| 1902843360 | Oak Park Va Clinic | Clinic/Center | 149 S Oak Park Ave, Oak Park, IL 60302-2901 | 2006-06-02 |
| 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.