VAMC (NPI# 1881623577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881623577 |
| Entity Type | Organization |
| Organization Name | VAMC |
| Practice Address |
2401 W Main St Marion IL 62959-1188 |
| Practice Telephone | 6189975311 |
| Practice Fax Number | 6189985661 |
| Mailing Telephone | 6189975311 |
| Mailing Fax Number | 6189985661 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MOHAMMED Y MANSURI (STAFFCARDIOLOGIST) |
| Authorized Official Telephone | 6189975311 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
4301040401 | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376901298 | Vamc | Clinic/Center | 300 E 34th St Apt 8d, New York, NY 10016-5209 | 2016-02-06 |
| 1730214347 | Vamc | Long Term Care Hospital | 477a Ivanhoe Rd, Max Meadows, VA 24360-3534 | 2007-02-22 |
| 1356438550 | Vamc | Military Hospital | 170 Castle Dr, Gainesville, FL 32607-1789 | 2006-10-07 |
| 1043307317 | Vamc | General Acute Care Hospital | 921 N.e.13th Str., Oklahoma City, OK 73104 | 2006-10-06 |
| 1356352504 | Vamc | General Acute Care Hospital | 640 Black Bear Bend, North Liberty, IA 52317 | 2006-08-11 |
| 1144664467 | Vamc | Military Hospital | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2013-04-18 |
| 1043550981 | Vamc | General Acute Care Hospital | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2013-02-28 |
| 1588923262 | Vamc | General Acute Care Hospital | 4815 N Assembly St, Spokane, WA 99205-6185 | 2012-05-15 |
| 1275867848 | Vamc | Military Hospital | 500 W Fort St, Boise, ID 83702-4501 | 2009-09-29 |
| 1407030174 | Vamc | Clinical Medical Laboratory | 7305 N Military Trl, Riviera Beach, FL 33410-7417 | 2007-12-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | VAMC | 30 Turnpike Rd., Southboro, MA 01772 |
| Indiana Business Entities | VAMC CONSTRUCTION LLC | 9177 Bayou Ct, Indianapolis, IN 46235 |
| New York State Corporations | VAMCO AVIATION, INC. | 3090 Route 9, Cold Spring, New York 10516 |
| New York State Corporations | VAMCO CONSTRUCTION CONSULTING CORP. | 26 Fox Trail, Mahopac, New York 10541 |
| Massachusetts Corporations | VAMCO CONTRACTING CORPORATION | 831 Beacon St., #302, Newton, MA 02459 |
| New York State Corporations | VAMCO EQUIPMENT, LLC | 3090 Route 9, Cold Spring, Ny 10516 |
| Washington State Corporations | VAMCO LTD., INC. | 1460 S Mirage Ave, Lindsay, CA 93247-9508 |
| New York State Corporations | VAMCO MECHANICAL LLC | 172 Main Street, Nanuet, Ny 10954 |
| New York State Corporations | VAMCO REALTY OF PEEKSKILL, INC. | 201 South 2nd Avenue, Mt Vernon, Ny 10550 |
| New York State Corporations | VAMCO SHEET METAL WORKS, LLC | 172 Main Street, Nanuet, Ny 10954 |
| Street Address |
2401 W MAIN ST |
| City | MARION |
| State | IL |
| Zip Code | 62959-1188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841277696 | Keith D Stewart | Dentist | 2401 W Main St, Marion, IL 62959-1188 | 2005-12-22 |
| 1396353397 | John Gilmore | Nurse Practitioner | 2401 W Main St, Marion, IL 62959-1188 | 2020-07-16 |
| 1083230098 | Samantha Ann Kimble | Social Worker | 2401 W Main St, Marion, IL 62959-1188 | 2020-06-25 |
| 1659907954 | Jason Patton | Technician | 2401 W Main St, Marion, IL 62959-1188 | 2020-03-18 |
| 1275164543 | Edward Staba | Psychologist | 2401 W Main St, Marion, IL 62959-1188 | 2020-01-27 |
| 1497385918 | Megan Berkel | Technician | 2401 W Main St, Marion, IL 62959-1188 | 2020-01-23 |
| 1699316521 | Angela Trowbridge | Technician | 2401 W Main St, Marion, IL 62959-1188 | 2019-10-02 |
| 1891346276 | Donna Householder | Technician | 2401 W Main St, Marion, IL 62959-1188 | 2019-09-26 |
| 1457902918 | Brenda Frazier | Technician | 2401 W Main St, Marion, IL 62959-1188 | 2019-09-26 |
| 1043861420 | Michelle Collier | Technician | 2401 W Main St, Marion, IL 62959-1188 | 2019-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558751776 | St. Louis Jc Vamc | Clinic/Center | 3403 Heartland Street, Marion, IL 62959-6393 | 2015-01-26 |
| 1497143531 | Mountain Home Vamc | Clinic/Center | 4451 Lee Highway, Marion, VA 24354-9998 | 2014-12-23 |
| 1720172174 | Va Hospital - Marion, In | Clinic/Center | 1700 East 38 Street, Marion, IN 46953 | 2006-10-02 |
| 1720035363 | Marion Va Clinic | Clinic/Center | 861 Goolsby St, Marion, VA 24354-1707 | 2006-05-28 |
| 1588054738 | St. Louis Jc Vamc | Clinic/Center | 1301 Enterprise Way, Marion, IL 62959-4442 | 2015-01-27 |
| 1033302518 | Columbus Va Ambulatory Care Center | Clinic/Center | 1203 Delaware Ave, Corporate Center #2, Marion, OH 43302-6419 | 2007-08-20 |
| 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 |
| 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 |
| 1154368710 | Hines Vamc | Clinic/Center | 10201 S Cicero Ave, Oak Lawn, IL 60453-4023 | 2006-06-01 |
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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.