BILOXI VAMC (NPI# 1003857764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003857764 |
| Entity Type | Organization |
| Organization Name | BILOXI VAMC |
| Other Organization Name | MOBILE VA CLINIC |
| Practice Address |
4444 Demetropolis Rd Mobile AL 36619-9602 |
| Mailing Address |
Po Box 94492 Columbus OH 44101 |
| Practice Telephone | 6153553451 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2019-07-09 |
| 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 |
|---|---|
| Mobile VA CBOC | Other Name - Individual/Organization |
| MOBILE VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326436601 | Biloxi Vamc | Clinic/Center | 140 Richard Jackson Blvd, Suite 100, Panama City Beach, FL 32407-2512 | 2015-01-08 |
| 1710925219 | Biloxi Vamc | Clinic/Center | 2600 Veterans Way, Panama City Beach, FL 32408-7186 | 2006-06-04 |
| 1760657084 | Biloxi Vamc | Clinic/Center | 100 Veterans Way, Eglin, FL 32542-1038 | 2008-04-28 |
| 1942249339 | Biloxi Vamc | Clinic/Center | 790 Veterans Way, Pensacola, FL 32507-1000 | 2006-06-04 |
| 1811946817 | Biloxi Vamc | General Acute Care Hospital | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2006-05-08 |
| 1891743134 | Biloxi Vamc | Department of Veterans Affairs (VA) Pharmacy | 790 Veterans Way, Pensacola, FL 32507-1000 | 2006-05-05 |
| 1396703427 | Biloxi Vamc | Department of Veterans Affairs (VA) Pharmacy | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2006-05-01 |
| Street Address |
4444 DEMETROPOLIS RD |
| City | MOBILE |
| State | AL |
| Zip Code | 36619-9602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891338307 | Kevin B Shacket | Psychologist | 4444 Demetropolis Rd, Mobile, AL 36619-9602 | 2019-10-28 |
| 1629634399 | David J Chavers | Psychologist | 4444 Demetropolis Rd, Mobile, AL 36619 | 2019-05-17 |
| 1174902423 | Tiffany Taite | Social Worker | 4444 Demetropolis Rd, Mobile, AL 36619-9602 | 2015-05-20 |
| 1932385770 | Letitia B Guy | Nurse Practitioner | 4444 Demetropolis Rd, Mobile, AL 36619-9602 | 2008-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184263816 | Julia Cheryl Tritch | Registered Nurse | 5130 Southbend Drive West, Mobile, AL 36619 | 2019-12-28 |
| 1386058311 | Monica Leigh Postage | Pharmacist | 5245 Rangeline Service Road South, Mobile, AL 36619 | 2014-06-18 |
| 1548604739 | Tillman's Corner Dental, P.C. | Dentist | 5659 Three Notch Rd., Mobile, AL 36619 | 2013-04-18 |
| 1417248410 | Quyen Nguyen | Pharmacist | 5440-a Highway 90 West, Mobile, AL 36619 | 2011-04-25 |
| 1760791909 | Brenetta M. Carraway | Pharmacist | 5451 Halls Mill Road, Suite 14, Mobile, AL 36619 | 2010-10-06 |
| 1881841419 | Virginia Leigh Childress | Physical Therapist | 5320 Us Hwy 90 Service Rd, Mobile, AL 36619 | 2008-08-26 |
| 1952457855 | Infirmary Occupational Health, PC | Preventive Medicine | 5320 Us Hwy 90 West, Mobile, AL 36619 | 2007-01-25 |
| 1417035676 | Leslie G Lovorn | Pharmacist | 5440 U.S. Highway 90 West, Mobile, AL 36619 | 2006-11-02 |
| 1427149947 | Foster Chiropractic Group, PC | Chiropractor | 4400 B Rangeline Rd, Mobile, AL 36619 | 2006-09-28 |
| 1306942628 | Mobile Family Care Center,inc | Family Medicine | 5560 Nevius Road, Mobile, AL 36619 | 2006-09-15 |
| Find all providers in zip 36619 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518319052 | Birmingham Vamc | Clinic/Center | 2415 7th Avenue South, Birmingham, AL 35233-3317 | 2016-07-08 |
| 1083961007 | Cindy Arlene Jones | Clinic/Center | 155 Scenic Rd, Jacksonville, AL 36265-8251 | 2012-08-09 |
| 1992024947 | Birmingham Vamc | Clinic/Center | 100 Judy Smith Dr, Guntersville, AL 35976-4500 | 2010-05-28 |
| 1255574729 | Birmingham Vamc | Clinic/Center | 151 9th Ave Nw, Childersburg, AL 35044-1231 | 2009-04-14 |
| 1689618373 | Birmingham Vamc | Clinic/Center | 422 Cox Blvd, Dd, Sheffield, AL 35660-4000 | 2006-06-15 |
| 1043250632 | Birmingham Vamc | Clinic/Center | 500 Markaview Road Northwest, Huntsville, AL 35805-3652 | 2006-06-08 |
| 1063450195 | Birmingham Vamc | Clinic/Center | 206 Rescia Ave, Gadsden, AL 35906-5933 | 2006-06-02 |
| 1891741294 | Birmingham Vamc | Clinic/Center | 1454 Jones Dairy Rd, Jasper, AL 35501-6164 | 2006-05-26 |
| 1679526131 | Montgomery Vamc | Clinic/Center | 2020 Alexander Dr, Dothan, AL 36301-3004 | 2006-05-18 |
| 1306897400 | Birmingham Vamc | Clinic/Center | 96 Ali Way, Oxford, AL 36203-1835 | 2006-05-13 |
| 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.