MOUNTAIN HOME VAMC (NPI# 1922544394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922544394 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN HOME VAMC |
| Other Organization Name | KNOXVILLE 2 VA CLINIC |
| Practice Address |
1521 Downtown West Blvd Knoxville TN 37919-5407 |
| Mailing Address |
Po Box 94516 Cleveland OH 44101 |
| Practice Telephone | 6153553451 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-09-07 |
| 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 |
|---|---|
| KNOXVILLE 2 VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316335680 | Mountain Home Vamc | Clinic/Center | 32613 Wilderness Road, Suite 101, Jonesville, VA 24263-9998 | 2015-01-08 |
| 1497143531 | Mountain Home Vamc | Clinic/Center | 4451 Lee Highway, Marion, VA 24354-9998 | 2014-12-23 |
| 1306234448 | Mountain Home Vamc | Clinic/Center | 1941 Lover's Gap Lane, Suite A, Vansant, VA 24656-9998 | 2014-12-23 |
| 1639342231 | Mountain Home Vamc | Clinic/Center | 925 E Morris Blvd, Morristown, TN 37813-2499 | 2008-04-04 |
| 1700824646 | Mountain Home Vamc | Clinic/Center | 401 Scenic Dr, Rogersville, TN 37857-2452 | 2006-06-03 |
| 1841237385 | Mountain Home Vamc | Clinic/Center | 654 Highway 58 E, Norton, VA 24273-3002 | 2006-06-01 |
| 1831148253 | Mountain Home Vamc | General Acute Care Hospital | Sidney and Lamont Streets, Mountain Home, TN 37684-4000 | 2006-05-10 |
| 1548218266 | Mountain Home Vamc | Department of Veterans Affairs (VA) Pharmacy | 1141 Cold Springs Rd, Mountain City, TN 37683-4032 | 2006-05-05 |
| 1982236907 | Mountain Home Vamc | Clinic/Center | 500 Washington Ave, Johnson City, TN 37604-5518 | 2020-02-07 |
| 1053942474 | Mountain Home Vamc | Clinic/Center | 1141 Cold Springs Rd, Mountain City, TN 37683-4032 | 2020-02-04 |
| Street Address |
1521 DOWNTOWN WEST BLVD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-5407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154858116 | Jacqueline Burgess | Optometrist | 1521 Downtown West Blvd, Knoxville, TN 37919-5407 | 2017-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417345554 | Mountain Home Vamc | Clinic/Center | 1557 Downtown West Blvd, Knoxville, TN 37919-5407 | 2014-12-23 |
| 1821312109 | Omaha Vamc | Clinic/Center | 1607 N Lincoln St, Knoxville, IA 50138-3455 | 2010-03-16 |
| 1235316928 | Mountain Home Vamc | Clinic/Center | 8033 Ray Mears Blvd, Knoxville, TN 37919-5458 | 2008-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073060133 | Nashville Vamc | Clinic/Center | 2 International Plaza Drive, Suite 300, Nashville, TN 37217-2011 | 2016-09-07 |
| 1962958256 | Nashville Vamc | Clinic/Center | 1208 Pointe Centre Drive, Chattanooga, TN 37421-3989 | 2016-08-28 |
| 1750779898 | Nashville Vamc | Clinic/Center | 1919 Charlotte Avenue, Suite 100, Nashville, TN 37203-2219 | 2014-12-23 |
| 1316267743 | Nashville Vamc | Clinic/Center | 2305 N Gateway Ave, Suite 2, Harriman, TN 37748-8665 | 2010-06-08 |
| 1205072436 | Memphis Vamc | Clinic/Center | 180 Old Hickory Blvd, Suite A, Jackson, TN 38305-2562 | 2008-12-17 |
| 1639342231 | Mountain Home Vamc | Clinic/Center | 925 E Morris Blvd, Morristown, TN 37813-2499 | 2008-04-04 |
| 1326082546 | Nashville Vamc | Clinic/Center | 225 Von Karman Road, Arnold Air Force Base, TN 37389-9998 | 2006-06-16 |
| 1700824646 | Mountain Home Vamc | Clinic/Center | 401 Scenic Dr, Rogersville, TN 37857-2452 | 2006-06-03 |
| 1669427050 | Memphis Vamc | Clinic/Center | 70 Harbert Dr, Savannah, TN 38372-2333 | 2006-05-23 |
| 1841243300 | Nashville Vamc | Clinic/Center | 1406 Donelson Pkwy, Dover, TN 37058-3730 | 2006-05-18 |
| 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.