VETERANS AFFAIRS (NPI# 1942753231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942753231 |
| Entity Type | Organization |
| Organization Name | VETERANS AFFAIRS |
| Practice Address |
8495 Crater Lake Hwy White City OR 97503-3011 |
| Practice Telephone | 5418262111 |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |
| Authorized Official Name | MS. LAURA HACKETT (PHYSICAL MEDICINE AND REHAB) |
| Authorized Official Telephone | 5418262111 |
| Authorized Official Credential | MSOTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 09277 | OR | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487980033 | Veterans Affairs | General Acute Care Hospital | 1426 Ida St Apt J, Durham, NC 27705-3330 | 2009-11-02 |
| 1770644072 | Veterans Affairs | Special Hospital | 2941 Mattern Ave, Pittsburgh, PA 15216 | 2006-12-12 |
| 1760587562 | Veterans Affairs | Nursing Facility/Intermediate Care Facility | 111201 Benton Street, Loma Linda, CA 92354 | 2006-09-14 |
| 1790887198 | Veterans Affairs | Counselor | 2401 W Main Street, Va Medical Center, Marion, IL 62959 | 2006-09-05 |
| 1134238108 | Veterans Affairs | Nurse's Aide | 8601 Broadway St, Apt.#3205, Houston, TX 77061-2266 | 2006-08-30 |
| 1417400946 | Veterans Affairs | Psychologist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2016-08-02 |
| 1912350737 | Veterans Affairs | Clinic/Center | 6010 W Amarillo Blvd, Amarillo, TX 79106-1990 | 2016-07-16 |
| 1831545680 | Veterans Affairs | General Acute Care Hospital | 619 S Marion Ave, Lake City, FL 32025-5808 | 2016-05-11 |
| 1023493897 | Veterans Affairs | General Acute Care Hospital | 3495 Bailey Ave, Buffalo, NY 14215-1129 | 2015-07-22 |
| 1558706226 | Veterans Affairs | Psychiatric Hospital | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2013-05-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VETERANS AFFAIRS BOARD, MISSISSIPPI STATE | 3466 Hwy 80 E, Jackson, MS 39201-4001 |
| Oregon Corporations, Companies and Business Names | VETERANS AFFAIRS EMPLOYEES & ASSOCIATES | 100 Sw Main St Fl 2, Salem, OR 97304 |
| System for Award Management (SAM) Entities | VETERANS AFFAIRS MEDICAL CENTER | 100 Emancipation Dr, Hampton, VA 23667-0001 |
| System for Award Management (SAM) Entities | VETERANS AFFAIRS, ALABAMA DEPT OF | 100 N Union St Ste 850, Montgomery, AL 36104-3719 |
| System for Award Management (SAM) Entities | VETERANS AFFAIRS, CALIFORNIA DEPARTMENT OF | 1227 O St Ste 105, Sacramento, CA 95814-5840 |
| System for Award Management (SAM) Entities | VETERANS AFFAIRS, IOWA DEPARTMENT OF | 7105 Nw 70th Ave, Johnston, IA 50131-1824 |
| System for Award Management (SAM) Entities | VETERANS AFFAIRS, LOUISIANA DEPARTMENT OF | 602 N Fifth St, Baton Rouge, LA 70802-5312 |
| System for Award Management (SAM) Entities | VETERANS AFFAIRS, MINNESOTA DEPARTMENT OF | 20 W 12th St 2nd Flr, Saint Paul, MN 55155-2002 |
| System for Award Management (SAM) Entities | VETERANS AFFAIRS, NORTH CAROLINA DIVISION OF | 413n Salisbury St, Raleigh, NC 27603-1361 |
| System for Award Management (SAM) Entities | VETERANS AFFAIRS, WASHINGTON STATE DEPARTMENT OF | 1102 Quince Se, Olympia, WA 98501-2462 |
| Street Address |
8495 CRATER LAKE HWY |
| City | WHITE CITY |
| State | OR |
| Zip Code | 97503-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568226 | David T. Quinn | Dentist | 8495 Crater Lake Hwy, Dental (160), White City, OR 97503-3011 | 2005-06-19 |
| 1003428244 | Adrian Anthony Garibay | Registered Nurse | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2020-08-19 |
| 1083237341 | Shawna Stucke | Social Worker | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2020-05-21 |
| 1073133872 | Danielle Knight | Dietitian, Registered | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2020-04-21 |
| 1144864448 | Michael E Greer II | Social Worker | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-10-30 |
| 1023666526 | Kiana M Saqr | Optometrist | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-08-28 |
| 1356901896 | Christina C Lowe | Dietitian, Registered | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-06-17 |
| 1336602572 | Cederick Jason Victor | Social Worker | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-04-12 |
| 1083174544 | Wanda Poteet | Nurse Practitioner | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-03-21 |
| 1467910836 | Latasha Miller | Psychologist | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952891053 | Miranda Wheeler | Counselor | 7524 Crater Lake Hwy, White City, OR 97503 | 2018-05-14 |
| 1932634599 | Annette Foster | Social Worker | 3905 Ave E, White City, OR 97503 | 2017-04-20 |
| 1881147791 | Christian Zal-herwitz | Psychologist | Va Southern Oregon Rehabilitation Center & Clinics, 8495 Crater Lake Hwy, White City, OR 97503 | 2016-07-27 |
| 1356627509 | Elise York | Massage Therapist | 8010 Brie Terrace, White City, OR 97503 | 2011-11-01 |
| 1679857551 | Emily E. Aldridge | Registered Nurse | Va Sorcc, 8495 Crater Lake Hwy, White City, OR 97503 | 2011-10-10 |
| 1538486519 | Matthew Ronald Becker | Physical Therapist | 8795 Crater Lake Ave, White City, OR 97503 | 2010-04-29 |
| 1003921453 | Rogue Rx Inc. | Pharmacy | 7591 A Crater Lake Hwy, Suite A, White City, OR 97503 | 2006-08-19 |
| 1962419259 | Marcus Mayfield | Nurse Practitioner | 8459 Crater Lake Highway, White City, OR 97503 | 2006-08-01 |
| 1831119825 | Steven E Brilliant | Internal Medicine | 8495 Crater Lake Highway, White City, OR 97503 | 2006-07-20 |
| 1417990177 | Carolyn Wecks Bartlett | Nurse Practitioner | 8594 Crater Lake Hwy, Southern Oregon Rehab Centers and Clinics, White City, OR 97503 | 2006-06-13 |
| Find all providers in zip 97503 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144418922 | Mountain View Hospital | Rehabilitation Unit | 470 Ne A St, Madras, OR 97741-1844 | 2007-10-05 |
| 1629121512 | Asante | Rehabilitation Unit | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2007-01-22 |
| 1841376092 | Providence Health & Services - Oregon | Rehabilitation Unit | 4805 Ne Glisan St, Portland, OR 97213-2933 | 2006-10-31 |
| 1508949884 | Providence Health & Services - Oregon | Rehabilitation Unit | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2006-10-23 |
| 1629186978 | Peacehealth | Rehabilitation Unit | 1255 Hilyard St, Eugene, OR 97401-3718 | 2006-08-28 |
| 1154343150 | St. Charles Health System, Inc. | Rehabilitation Unit | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2006-07-25 |
| 1942223482 | Legacy Good Samaritan Hospital and Medical Center | Rehabilitation Unit | 1015 Nw 22nd Ave, Portland, OR 97210-3025 | 2006-07-25 |
| 1487676789 | Willamette Valley Medical Center LLC | Rehabilitation Unit | 2700 Se Stratus Ave, Mcminnville, OR 97128-6255 | 2006-07-24 |
| 1942228390 | Mercy Medical Center, Inc. | Rehabilitation Unit | 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 | 2006-07-17 |
| 1417988767 | Mercy Institute of Rehabilitation | Rehabilitation Unit | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2006-07-05 |
| Find all providers with the same taxonomy | ||||
| City | WHITE CITY |
| Zip Code | 97503 |
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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.