COLUMBIA VAMC (NPI# 1912945593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912945593 |
| Entity Type | Organization |
| Organization Name | COLUMBIA VAMC |
| Other Organization Name | ORANGEBURG VA CLINIC |
| Practice Address |
1767 Village Park Dr Orangeburg SC 29118-2475 |
| Mailing Address |
Po Box 89478 Cleveland OH 44101-6478 |
| Practice Telephone | 8282572333 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2018-04-17 |
| 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 |
|---|---|
| ORANGEBURG VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972542983 | Columbia Vamc | Clinic/Center | 407 N Salem Ave, Sumter, SC 29150-4115 | 2006-06-05 |
| 1588617815 | Columbia Vamc | Clinic/Center | 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 | 2006-05-18 |
| 1215988480 | Columbia Vamc | Clinic/Center | 1702 E Greenville St, Anderson, SC 29621-2009 | 2006-05-13 |
| 1265490155 | Columbia Vamc | Department of Veterans Affairs (VA) Pharmacy | 41 Park Creek Drive, Greenville, SC 29605-4270 | 2006-05-02 |
| 1053786228 | Columbia Vamc | Clinic/Center | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2015-12-14 |
| 1861643181 | Columbia Vamc | Clinic/Center | 279 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2008-10-06 |
| 1104865211 | Columbia Vamc | Clinic/Center | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2006-06-05 |
| 1649218579 | Columbia Vamc | Clinic/Center | 2670 Mills Park Dr, Rock Hill, SC 29732-8599 | 2006-06-03 |
| 1578514030 | Columbia Vamc | General Acute Care Hospital | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2006-05-12 |
| 1104884014 | Columbia Vamc | Department of Veterans Affairs (VA) Pharmacy | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2006-05-02 |
| Street Address |
1767 VILLAGE PARK DR |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29118-2475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093768616 | Gordon Reese Weigle II | Family Medicine | 1767 Village Park Dr, Orangeburg, SC 29118-2475 | 2006-05-17 |
| 1265664734 | Kelly L Russo | Psychologist | 1767 Village Park Dr, Orangeburg, SC 29118-2475 | 2009-08-18 |
| 1366526451 | Janet Paparella Adams | Social Worker | 1767 Village Park Dr, Orangeburg, SC 29118-2475 | 2006-10-25 |
| 1629088513 | Rita Jones Robinson | Internal Medicine | 1767 Village Park Dr, Va Outpatient Clinic, Orangeburg, SC 29118-2475 | 2006-08-09 |
| 1841207198 | William Andy Nuckols | Family Medicine | 1767 Village Park Dr, Orangeburg, SC 29118-2475 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386268175 | Sharon Y Tremble | Speech-Language Pathologist | 222 Summit Parkway, Orangeburg, SC 29118 | 2020-06-08 |
| 1922658756 | Orangeburg County School District | Local Education Agency (LEA) | 102 Founders Court, Orangeburg, SC 29118 | 2019-09-13 |
| 1710442967 | Central Carolina Endodontics Pa | Dentist | 888 Cook Road, Orangeburg, SC 29118 | 2019-02-01 |
| 1821572009 | Sharon Fogle | Counselor | 2319 Wt. Matthews Road, Orangeburg, SC 29118 | 2018-09-24 |
| 1104320001 | South Carolina Surgical Pa | Surgery | 3045 St Matthews Road, Orangeburg, SC 29118 | 2018-03-23 |
| 1477056794 | Palmetto Moon Anesthesia, LLC | Anesthesiology | 3045 St. Matthews Rd., Orangeburg, SC 29118 | 2018-03-13 |
| 1730691882 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 125 Kinard St, Orangeburg, SC 29118 | 2017-10-30 |
| 1154862746 | Latasha Hott | Nurse Practitioner | 2323 St. Matthews Rd, Orangeburg, SC 29118 | 2017-03-15 |
| 1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
| 1881977726 | Ontime Transport LLC | Non-emergency Medical Transport (VAN) | 2851 Pelham Ct, Orangeburg, SC 29118 | 2011-09-27 |
| Find all providers in zip 29118 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083099444 | Charleston Vamc | Clinic/Center | 2424 City Hall Lane, North Charleston, SC 29406-9998 | 2015-07-28 |
| 1306014113 | Augusta Vamc | Clinic/Center | 950 Millbrook Ave, Aiken, SC 29803-0602 | 2008-02-14 |
| 1972542983 | Columbia Vamc | Clinic/Center | 407 N Salem Ave, Sumter, SC 29150-4115 | 2006-06-05 |
| 1588617815 | Columbia Vamc | Clinic/Center | 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 | 2006-05-18 |
| 1215988480 | Columbia Vamc | Clinic/Center | 1702 E Greenville St, Anderson, SC 29621-2009 | 2006-05-13 |
| 1053786228 | Columbia Vamc | Clinic/Center | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2015-12-14 |
| 1164810297 | Charleston Vamc | Clinic/Center | 1101 Johnson Ave, Suite R-2a, Myrtle Beach, SC 29577-1893 | 2014-12-23 |
| 1255729398 | Charleston Vamc | Clinic/Center | 9229 University Blvd, North Charleston, SC 29406-9150 | 2014-12-23 |
| 1437566528 | Charleston Vamc | Clinic/Center | 9237 University Blvd, North Charleston, SC 29406-9189 | 2014-07-21 |
| 1861643181 | Columbia Vamc | Clinic/Center | 279 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2008-10-06 |
| Find all providers with the same taxonomy | ||||
| City | ORANGEBURG |
| Zip Code | 29118 |
Please comment or provide details below to improve the information on COLUMBIA 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.