CLARKSBURG VAMC (NPI# 1972753655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972753655 |
| Entity Type | Organization |
| Organization Name | CLARKSBURG VAMC |
| Other Organization Name | WESTOVER VA CLINIC |
| Practice Address |
40 Commerce Dr Suite 101 Westover WV 26501-3874 |
| Mailing Address |
Po Box 94436 Cleveland OH 44101-4436 |
| Practice Telephone | 8282572333 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2008-09-30 |
| 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 |
|---|---|
| WESTOVER VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669412037 | Clarksburg Vamc | Clinic/Center | 260 Spruce St, Parsons, WV 26287-1015 | 2006-06-07 |
| 1790739118 | Clarksburg Vamc | Clinic/Center | 40 Reston Pl, Gassaway, WV 26624-7899 | 2006-05-20 |
| 1619342870 | Clarksburg Vamc | Clinic/Center | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2015-12-14 |
| 1508804964 | Clarksburg Vamc | Clinic/Center | 2311 Ohio Ave, Suite A, Parkersburg, WV 26101-2559 | 2006-06-04 |
| 1295784056 | Clarksburg Vamc | General Acute Care Hospital | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2006-05-09 |
| 1356399364 | Clarksburg Vamc | Department of Veterans Affairs (VA) Pharmacy | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2006-05-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CLARKSBURG VAMC | 1 Med Center Dr, Clarksburg, WV 26301-4155 |
| Street Address |
40 COMMERCE DR SUITE 101 |
| City | WESTOVER |
| State | WV |
| Zip Code | 26501-3874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912985128 | Deborah R Bergen | Psychiatry & Neurology | 40 Commerce Dr, Ste B, Westover, WV 26501-3952 | 2006-01-06 |
| 1780899062 | Khan Meraj Tanveer | Family Medicine | 40 Commerce Dr, Suite 101, Westover, WV 26501-3874 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528718 | Billie Jane Shrout | Technician | #4 Ami Dr, Morgantown, WV 26501 | 2020-11-02 |
| 1932668852 | Donald Brubaker | Student in an Organized Health Care Education/Training Program | Wvu Medicine, University Town Centre, 6040 University Town Centre Drive, Morgantown, WV 26501 | 2019-03-19 |
| 1194280446 | Braeden Chase Carroll | Specialist/Technologist | 636 Madison Ave, Morgantown, WV 26501 | 2019-01-31 |
| 1629541545 | Key Learning Autism Center Inc | Community/Behavioral Health | Mountaineer Mall, 5000 Greenbag Road Space A-1, Morgantown, WV 26501 | 2019-01-03 |
| 1922575463 | Heather Lynne Oneal | Midwife | 864 Vandalia Rd, Morgantown, WV 26501 | 2018-11-01 |
| 1609252634 | Nathan Robert Tomasik | Physical Therapist | 746 Fairmont Road, Westover, WV 26501 | 2015-07-31 |
| 1174922462 | Shelly Cummings | Nurse Practitioner | 5000 Greenbag Rd Ste E08, Morgantown, WV 26501 | 2014-08-22 |
| 1841609419 | Christine A Sutch | Family Medicine | 6040 University Town Center, Morgantown, WV 26501 | 2014-08-08 |
| 1073808432 | Megan B Darrah | Occupational Therapist | 6 Edwin Street, Morgantown, WV 26501 | 2011-06-14 |
| 1831325729 | Carol M. Kisner Mcgraw | Occupational Therapist | 26 Commerce Drive, Westover, WV 26501 | 2009-06-05 |
| Find all providers in zip 26501 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063885754 | Beckley Vamc | Clinic/Center | 1780 Stadium Dr, Bluefield, WV 24701-3322 | 2015-11-04 |
| 1477947331 | Beckley Vamc | Clinic/Center | 150 Courthouse Rd, Princeton, WV 24740-2419 | 2015-03-27 |
| 1861809816 | Huntington Vamc | Clinic/Center | 15 Lenore Business Mall, 2867 Route 65, Williamson, WV 25661-9199 | 2014-07-22 |
| 1861794067 | Beckley Vamc | Clinic/Center | 228 Shamrock Ln, Ronceverte, WV 24970-8380 | 2010-11-22 |
| 1912941501 | Martinsburg Vamc | Clinic/Center | 15 Grant St, Petersburg, WV 26847-1613 | 2006-06-15 |
| 1669412037 | Clarksburg Vamc | Clinic/Center | 260 Spruce St, Parsons, WV 26287-1015 | 2006-06-07 |
| 1194771071 | Martinsburg Vamc | Clinic/Center | 91 Pine Street, Franklin, WV 26807-9998 | 2006-05-25 |
| 1790739118 | Clarksburg Vamc | Clinic/Center | 40 Reston Pl, Gassaway, WV 26624-7899 | 2006-05-20 |
| 1194776823 | Braxton Va Clinic | Clinic/Center | 707 Elk St, Gassaway, WV 26624-1113 | 2006-05-15 |
| 1144271883 | Huntington Vamc | Clinic/Center | 700 Technology Dr, South Charleston, WV 25309-8571 | 2006-05-15 |
| 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.