FORT MEADE VAMC (NPI# 1033153705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033153705 |
| Entity Type | Organization |
| Organization Name | FORT MEADE VAMC |
| Other Organization Name | MISSION VA CBOC |
| Practice Address |
153 South Main St. Mission SD 57555-9998 |
| Mailing Address |
Po Box 94456 Cleveland OH 44101-4456 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2017-12-13 |
| 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 |
|---|---|
| Mission VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205870201 | Fort Meade Vamc | Clinic/Center | Sales Barn Rd, Veterans Industries, Mclaughlin, SD 57642-9998 | 2006-06-16 |
| 1922049378 | Fort Meade Vamc | Clinic/Center | 660 West 2nd Street, Avera Winner Medical Clinic, Winner, SD 57580-1218 | 2006-06-09 |
| 1780623199 | Fort Meade Vamc | Clinic/Center | 601 5th Ave, Scottsbluff, NE 69361 | 2006-06-05 |
| 1346288438 | Fort Meade Vamc | Clinic/Center | 3625 5th St, Rapid City, SD 57701-6015 | 2006-06-02 |
| 1770520397 | Fort Meade Vamc | Clinic/Center | 1615 N Harrison Ave Ste 20, Pierre, SD 57501-2392 | 2006-06-01 |
| 1679517346 | Fort Meade Vamc | Clinic/Center | 300 E 8th St, Gordon, NE 69343-1123 | 2006-06-15 |
| 1386688018 | Fort Meade Vamc | Clinic/Center | 500 N 5th St, Hot Springs, SD 57747-1480 | 2006-06-15 |
| 1619914116 | Fort Meade Vamc | Clinic/Center | 1124 Washington Blvd, Newcastle, WY 82701-2972 | 2006-06-01 |
| 1790734440 | Fort Meade Vamc | General Acute Care Hospital | 500 N 5th St, Va Medical Center, Hot Springs, SD 57747-1480 | 2006-05-09 |
| 1851340087 | Fort Meade Vamc | General Acute Care Hospital | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2006-05-06 |
| Street Address |
153 SOUTH MAIN ST. |
| City | MISSION |
| State | SD |
| Zip Code | 57555-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942299169 | Betty Anne Kalblinger I | Physician Assistant | 153 South Main St., Mission, SD 57555-0049 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706892 | Kristine Ellece Smith | Social Worker | 101 Antelope Lake Circle, Mission, SD 57555 | 2020-10-05 |
| 1891352134 | Sinte Gleska University | Counselor | Antelope Lake Drive, Mission, SD 57555 | 2019-05-22 |
| 1790259182 | Charlotte Rose Emery | Counselor | 101 Antelpe Lake, Mission, SD 57555 | 2019-01-18 |
| 1285110486 | Ryan Ross Rowe | Nurse Practitioner | 161 S. Main, Mission, SD 57555 | 2018-07-11 |
| 1225578198 | Autumn Rae Tucker | Nurse Practitioner | 161 S, Main Street, Mission, SD 57555 | 2017-02-27 |
| 1497204937 | Molly Driel Dent | Psychologist | 102 E. Denver Drive, Mission, SD 57555 | 2016-09-26 |
| 1285923011 | Ed Parsells | Counselor | 250 S. Harrison St., Mission, SD 57555 | 2011-04-01 |
| 1023340767 | Burke Community Pharmacy Inc. | Pharmacy | 161 S. Main Street, Mission, SD 57555 | 2010-02-05 |
| 1366687428 | Todd County School District 66-1 | Local Education Agency (LEA) | 110 E. Denver Drive, Mission, SD 57555 | 2008-12-03 |
| 1790972719 | Angela Blane Chambers | Physician Assistant | 161 S Main St., Mission, SD 57555 | 2007-10-03 |
| Find all providers in zip 57555 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982934691 | Sioux Falls Vamc | Clinic/Center | 400 W Sd Highway 46, Wagner, SD 57380-9369 | 2009-12-31 |
| 1679709265 | Sioux Falls Vamc | Clinic/Center | 4 19th Street Northeast, Watertown, SD 57201-3936 | 2009-06-09 |
| 1205870201 | Fort Meade Vamc | Clinic/Center | Sales Barn Rd, Veterans Industries, Mclaughlin, SD 57642-9998 | 2006-06-16 |
| 1922049378 | Fort Meade Vamc | Clinic/Center | 660 West 2nd Street, Avera Winner Medical Clinic, Winner, SD 57580-1218 | 2006-06-09 |
| 1043258577 | Sioux Falls Vamc | Clinic/Center | 380 West Anchor Dr., Suite 206, Dakota Dunes, SD 57049-9998 | 2006-06-04 |
| 1346288438 | Fort Meade Vamc | Clinic/Center | 3625 5th St, Rapid City, SD 57701-6015 | 2006-06-02 |
| 1770520397 | Fort Meade Vamc | Clinic/Center | 1615 N Harrison Ave Ste 20, Pierre, SD 57501-2392 | 2006-06-01 |
| 1730139395 | Sioux Falls Vamc | Clinic/Center | 3307 10th Ave Se, Aberdeen, SD 57401-8027 | 2006-05-12 |
| 1386688018 | Fort Meade Vamc | Clinic/Center | 500 N 5th St, Hot Springs, SD 57747-1480 | 2006-06-15 |
Please comment or provide details below to improve the information on FORT MEADE 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.