LOUISVILLE VAMC (NPI# 1063668291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063668291 |
| Entity Type | Organization |
| Organization Name | LOUISVILLE VAMC |
| Other Organization Name | CLARKSON VA CBOC |
| Practice Address |
619 W Main St Clarkson KY 42726-7044 |
| Mailing Address |
Po Box 94508 Cleveland OH 44101 |
| Practice Telephone | 6153553451 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2017-09-07 |
| Authorized Official Name | MRS. 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 |
|---|---|
| Clarkson VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508015074 | Louisville Vamc | Clinic/Center | 1911 Us Highway 227, Carrollton, KY 41008-8037 | 2008-09-09 |
| 1144267071 | Louisville Vamc | Clinic/Center | 811 Northgate Blvd, New Albany, IN 47150-6419 | 2006-05-31 |
| 1518910025 | Louisville Vamc | Clinic/Center | 9208 Taylorsville Road, Louisville, KY 40299-9998 | 2006-05-18 |
| 1649630955 | Louisville Vamc | Psychiatric Residential Treatment Facility | 800 Zorn Ave, Louisville, KY 40206-1433 | 2016-02-29 |
| 1770732752 | Louisville Vamc | Clinic/Center | 1467 Scott Valley Dr, Scottsburg, IN 47170-7795 | 2008-09-15 |
| 1750320735 | Louisville Vamc | Clinic/Center | 3430 Newburg Rd, Louisville, KY 40218-2497 | 2006-06-06 |
| 1851347124 | Louisville Vamc | Clinic/Center | 3934 Dixie Hwy, Suite 210, Louisville, KY 40216-4163 | 2006-05-26 |
| 1699728824 | Louisville Vamc | Clinic/Center | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2006-05-18 |
| 1144279597 | Louisville Vamc | General Acute Care Hospital | 800 Zorn Ave, Louisville, KY 40206-1433 | 2006-05-10 |
| 1538127295 | Louisville Vamc | Department of Veterans Affairs (VA) Pharmacy | 800 Zorn Ave, Louisville, KY 40206-1433 | 2006-05-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LOUISVILLE VAMC | 800 Zorn Ave, Louisville, KY 40206-1433 |
| Street Address |
619 W MAIN ST |
| City | CLARKSON |
| State | KY |
| Zip Code | 42726-7044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619031192 | Mark Evan Demuth | Family Medicine | 619 W Main St, Clarkson, KY 42726-7044 | 2006-12-20 |
| 1134111784 | Larry T Mcclure | Clinic/Center | 619 W Main St, Clarkson, KY 42726 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164837357 | Paula Tiffany Nicole Smallwood | Developmental Therapist | 20 Fragrant Rd, Clarkson, KY 42726 | 2014-06-25 |
| 1295079481 | Pamela Oletta Riggs | Counselor | 409 Millerstown St, Clarkson, KY 42726 | 2012-11-12 |
| 1700039146 | Kathy Powell | Durable Medical Equipment & Medical Supplies | 722 W. Main Street, Clarkson, KY 42726 | 2008-10-29 |
| 1497177398 | Everlasting Arms Family Counseling Center, LLC | Counselor | 409 Millerstown St, Clarkson, KY 42726 | 2014-01-10 |
| 1174615124 | Clarkson Drug Store, Inc. | Durable Medical Equipment & Medical Supplies | 201 Millerstown St., Clarkson, KY 42726-0146 | 2006-09-28 |
| 1740302041 | James William Marshall | Pharmacist | 201 Millerstown St., Clarkson, KY 42726-0146 | 2007-04-06 |
| 1700863495 | Midway Pharmacy of Clarkson Inc | Pharmacy | 627 W Main St, Clarkson, KY 42726-7044 | 2005-12-23 |
| 1780876581 | Twin Lakes Family Practice | Clinic/Center | 625 W Main St, Clarkson, KY 42726-7044 | 2007-08-15 |
| 1104937820 | Clarkson Clinic, Pllc | Clinic/Center | 625 W Main St, Clarkson, KY 42726-7044 | 2006-08-31 |
| 1306863378 | Victor F Duvall | Family Medicine | 625 W Main St, Clarkson, KY 42726-7044 | 2006-07-16 |
| Find all providers in zip 42726 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134111784 | Larry T Mcclure | Clinic/Center | 619 W Main St, Clarkson, KY 42726 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619116399 | St. Louis Jc Vamc | Clinic/Center | 1253 Paris Rd, Suite A, Mayfield, KY 42066-4989 | 2009-02-19 |
| 1508015074 | Louisville Vamc | Clinic/Center | 1911 Us Highway 227, Carrollton, KY 41008-8037 | 2008-09-09 |
| 1578616892 | St. Louis Jc Vamc | Clinic/Center | 99 Stagecoach Rd, Madisonville, KY 42431-8009 | 2007-01-19 |
| 1952458960 | Cincinnati Vamc | Clinic/Center | 7310 Turfway Road, Suite 510, Florence, KY 41042-1385 | 2007-01-04 |
| 1003855966 | Lexington Vamc | Clinic/Center | 300 Medpark Drive, Somerset, KY 42503-9998 | 2006-06-06 |
| 1366480436 | Huntington Vamc | Clinic/Center | 5230 Ky Route 321, Suite 8, Prestonsburg, KY 41653-9169 | 2006-06-02 |
| 1518910025 | Louisville Vamc | Clinic/Center | 9208 Taylorsville Road, Louisville, KY 40299-9998 | 2006-05-18 |
| 1639120215 | Nashville Vamc | Clinic/Center | 600 Us 31 West Bypass, Suite 12, Bowling Green, KY 42101-4905 | 2006-05-16 |
| 1972739936 | Nashville Vamc | Clinic/Center | 1102 S Virginia St, Second Floor, Hopkinsville, KY 42240-3579 | 2009-06-04 |
| 1528205648 | Lexington Vamc | Clinic/Center | 209 Pauline Dr, Berea, KY 40403-8889 | 2009-01-12 |
| 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.