PHOENIX VAMC


Address: 9424 N 25th Ave, Phoenix, AZ 85021-2714
Phone: 7023413152

PHOENIX VAMC (NPI# 1033345624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033345624
Entity Type Organization
Organization Name PHOENIX VAMC
Other Organization Name THUNDERBIRD VA CBOC
Practice Address 9424 N 25th Ave
Phoenix
AZ 85021-2714
Mailing Address Po Box 94413
Cleveland
OH 44101-4413
Practice Telephone 7023413152
Mailing Telephone 7023413152
Enumeration Date 2009-06-09
Last Update Date 2017-11-01
Authorized Official Name ERIN POTTER (NPI TEAM MEMBER)
Authorized Official Telephone 2023822579
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QV0200X Clinic/Center
Specialization: VA
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Thunderbird VA CBOC Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1619352077 Phoenix Vamc Clinic/Center 1500 East Thomas Road, Suite 106, Phoenix, AZ 85014-5748 2015-07-28
1265785364 Phoenix Vamc Clinic/Center 11390 East Via Linda Road, Suite 105, Scottsdale, AZ 85259-4075 2012-10-26
1437197902 Phoenix Vamc Clinic/Center 3285 S Val Vista Dr, Gilbert, AZ 85297-7000 2006-06-04
1215974696 Phoenix Vamc Clinic/Center 903 E Highway 260, Suite 2, Payson, AZ 85531-4972 2006-06-02
1205874351 Phoenix Vamc Clinic/Center 2450 E Show Low Lake Rd, Suite 1, Show Low, AZ 85901-7953 2006-06-02
1629582184 Phoenix Vamc Clinic/Center 650 E Indian School Rd, Phoenix, AZ 85012-1839 2017-11-20
1174065791 Phoenix Vamc Clinic/Center 5040 N 15th Ave, Phoenix, AZ 85015-3328 2016-11-14
1104286418 Phoenix Vamc Psychiatric Residential Treatment Facility 650 E Indian School Rd, Phoenix, AZ 85012-1839 2016-02-29
1053586545 Phoenix Vamc Clinic/Center 5860 S Hospital Dr, Suite 111, Globe, AZ 85501-9449 2008-04-25
1598704512 Phoenix Vamc Clinic/Center 13985 W Grand Ave, Suite 101, Surprise, AZ 85374-3625 2006-06-05

Office Location

Street Address 9424 N 25TH AVE
City PHOENIX
State AZ
Zip Code 85021-2714

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083112858 Lexie-faye Reed Dietitian, Registered 9424 N 25th Ave, Phoenix, AZ 85021-2714 2018-01-26
1417389149 Monica L King Social Worker 9424 N 25th Ave, Phoenix, AZ 85021-2714 2013-08-05
1184963621 Jamie Capobres Social Worker 9424 N 25th Ave, Phoenix, AZ 85021-2714 2013-02-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679173181 Jill M Robinson Social Worker 8804 N. 23rd Ave, Bldg. A Ste. A01-a02, Phoenix, AZ 85021 2020-10-26
1528671013 Sabrina Mcninch Behavior Technician 1200 W Dunlap Ave, Ste 100, Phoenix, AZ 85021 2020-08-25
1376169938 Maricopa County Special Heallth Care District Pharmacy 2025 W Northern Ave, Phoenix, AZ 85021 2020-06-19
1841832664 Madison Westby Physical Therapist 717 W Dunlap Ave # 100, Phoenix, AZ 85021 2019-10-14
1861967481 Southwest Family Naturopathic Clinic Pllc Naturopath 1530 W Glendale Ave Suite 103, Phoenix, AZ 85021 2018-10-10
1184101461 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 8804 N 23rd Ave, Suite A01/a02, Phoenix, AZ 85021 2018-07-19
1568970150 Alycia Ann Poloni Occupational Therapist 7129 N 23d Ave, Phoenix, AZ 85021 2018-01-17
1154839165 Cyrus Professional Corporation Dentist 2401 W. Glendale Ave, Ste 102, Phoenix, AZ 85021 2018-01-12
1568980779 Marla Jean Clay Licensed Practical Nurse 1717 W. Glendale Ave. Apt. 3011, Phoenix, AZ 85021 2017-09-07
1801325162 Kaitlin King Nurse Practitioner 8824 N 9th Ave, Phoenix, AZ 85021 2017-06-08
Find all providers in zip 85021

Taxonomy Information

Taxonomy Code 261QV0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization VA

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619352077 Phoenix Vamc Clinic/Center 1500 East Thomas Road, Suite 106, Phoenix, AZ 85014-5748 2015-07-28
1811176530 Cthvamc Clinic/Center 239 W Utopia Rd, Phoenix, AZ 85027-4738 2007-10-30
1629582184 Phoenix Vamc Clinic/Center 650 E Indian School Rd, Phoenix, AZ 85012-1839 2017-11-20
1174065791 Phoenix Vamc Clinic/Center 5040 N 15th Ave, Phoenix, AZ 85015-3328 2016-11-14
1619422052 Veterans Health Administration Clinic/Center 2141 E Camelback Rd, Suite 210, Phoenix, AZ 85016-4764 2016-08-15
1790022234 Phoenix Va Health Care System Clinic/Center 650 E Indian School Rd, Phoenix, AZ 85012-1839 2013-01-03
1811292923 Phoenix Va Medical Center Clinic/Center 650 E Indian School Rd, Phoenix, AZ 85012-1839 2011-01-20
1831138270 Phoenix Vamc Clinic/Center 9250 W Thomas Rd, Suite 400, Phoenix, AZ 85037-3382 2006-06-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013457704 Tucson Vamc Clinic/Center 1179 E Cottonwood Lane, Suite 1, Casa Grande, AZ 85122-2969 2017-03-01
1104366897 Tucson Vamc Clinic/Center 157 North Coronado Drive, Suite B, Sierra Vista, AZ 85635-6361 2017-03-01
1558759837 Prescott Vamc Clinic/Center 33 West Vista Drive, Holbrook, AZ 86025-1844 2015-01-08
1356739650 Prescott Vamc Clinic/Center 801 North Navajo Drive, Suite B, Page, AZ 86040-9998 2015-01-08
1265785364 Phoenix Vamc Clinic/Center 11390 East Via Linda Road, Suite 105, Scottsdale, AZ 85259-4075 2012-10-26
1952345076 Prescott Vamc Clinic/Center 1300 W University Ave, #200, Flagstaff, AZ 86001-7214 2006-06-16
1235173931 Tucson Vamc Clinic/Center 101 N Coronado Dr Ste A, Building 45006, Sierra Vista, AZ 85635-6359 2006-06-15
1649219528 Tucson Vamc Clinic/Center 3111 S 4th Ave, Yuma, AZ 85364-8122 2006-06-06
1437197902 Phoenix Vamc Clinic/Center 3285 S Val Vista Dr, Gilbert, AZ 85297-7000 2006-06-04
1902844632 Tucson Vamc Clinic/Center 355 North 8th Avenue, Safford, AZ 85546-2694 2006-06-03
Find all providers with the same taxonomy

Competitor

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City PHOENIX
Zip Code 85021

Improve Information

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Dataset Information

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.

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