LITTLE ROCK VAMC (NPI# 1063745891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063745891 |
Entity Type | Organization |
Organization Name | LITTLE ROCK VAMC |
Other Organization Name | SEARCY VA CBOC |
Practice Address |
1120 S Main St Searcy AR 72143-7319 |
Mailing Address |
Po Box 94499 Cleveland OH 44101 |
Practice Telephone | 6153553451 |
Mailing Telephone | 6153553451 |
Enumeration Date | 2009-09-11 |
Last Update Date | 2017-09-26 |
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 |
---|---|
Searcy VA CBOC | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073821518 | Little Rock Vamc | Clinic/Center | 1520 E Dave Ward Dr, Conway, AR 72032-9649 | 2010-09-17 |
1063450617 | Little Rock Vamc | Clinic/Center | 759 Highway 62 E, Suite 331, Mountain Home, AR 72653-3260 | 2006-06-04 |
1861439697 | Little Rock Vamc | Clinic/Center | 300 Morrow St S, Mena, AR 71953 | 2006-06-01 |
1215982582 | Little Rock Vamc | Clinic/Center | 177 Sawtooth Oak St, Hot Springs, AR 71901-7160 | 2006-05-24 |
1215980164 | Little Rock Vamc | Clinic/Center | 1702 N West Ave, El Dorado, AR 71730 | 2006-05-19 |
1295120152 | Little Rock Vamc | Clinic/Center | 4300 W 7th St, Little Rock, AR 72205-5446 | 2015-03-30 |
1528456894 | Little Rock Vamc | Clinic/Center | 1000 Main St, Little Rock, AR 72202-3820 | 2015-01-08 |
1518275056 | Little Rock Vamc | Clinic/Center | 3106 W 2nd Ct, Russellville, AR 72801-4503 | 2010-09-17 |
1548457146 | Little Rock Vamc | Clinic/Center | 4747 Dusty Lake Dr, Pine Bluff, AR 71603-8742 | 2007-09-27 |
1619926268 | Little Rock Vamc | General Acute Care Hospital | 4300 W 7th St, Little Rock, AR 72205-5446 | 2006-05-10 |
Street Address |
1120 S MAIN ST |
City | SEARCY |
State | AR |
Zip Code | 72143-7319 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588652275 | Patrick Door-shang Chan | Neurological Surgery | 1120 S Main St, Searcy, AR 72143-7319 | 2005-10-07 |
1225639636 | Paul Daniel Warner Iv | Physical Therapist | 1120 S Main St, Searcy, AR 72143-7319 | 2020-11-03 |
1922457753 | Kimberly Ann Browning | Nurse Practitioner | 1120 S Main St, Searcy, AR 72143 | 2016-06-13 |
1558698704 | Advanced Counseling and Neurofeedback | Marriage & Family Therapist | 1120 S Main St, Searcy, AR 72143-7319 | 2009-11-09 |
1821229527 | Eichhorn and Company | Nurse Practitioner | 1120 S Main St, Searcy, AR 72143-7319 | 2009-07-30 |
1023245545 | Glen M Adams LLC | Clinic/Center | 1120 S Main St, Searcy, AR 72143-7319 | 2009-06-11 |
1952556995 | Clinic Drug of Searcy Inc | Durable Medical Equipment & Medical Supplies | 1120 S Main St, Ste B, Searcy, AR 72143-7319 | 2008-11-18 |
1003017302 | Pawel Krzysztof Kurylo | Psychiatry & Neurology | 1120 S Main St, Searcy, AR 72143-7319 | 2007-05-31 |
1992874937 | Pam Vondran | Nurse Practitioner | 1120 S Main St, Searcy, AR 72143-7319 | 2006-11-06 |
1538273503 | Clinic Drug of Searcy Inc | Pharmacy | 1120 S Main St, Ste B, Searcy, AR 72143 | 2006-08-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679188874 | Jessalyn Elise Tackett | Pharmacist | 200 E. Race Ave, Searcy, AR 72143 | 2020-09-14 |
1528697620 | Edward Lee | Student in an Organized Health Care Education/Training Program | 3214 E Race St, Searcy, AR 72143 | 2020-04-02 |
1700420338 | Rebecca Joanne Yauilla | Family Medicine | 3214 Race Avenue, Searcy, AR 72143 | 2019-11-06 |
1558913517 | The Forge Counseling Group LLC | Counselor | 505 S Elm St Suite C, Searcy, AR 72143 | 2019-07-10 |
1023584620 | Lisa Farley | Speech-Language Pathologist | 2918 Hawkins Drive, Searcy, AR 72143 | 2018-10-22 |
1144761719 | Christie Brooks | Dietitian, Registered | 91 Lakeway Drive, Searcy, AR 72143 | 2017-03-16 |
1639626112 | Kelly Walls | Pharmacist | 805 E Park Ave, Searcy, AR 72143 | 2016-09-01 |
1417316480 | Zach Wickes | Student in an Organized Health Care Education/Training Program | 506 N Van, Searcy, AR 72143 | 2016-02-18 |
1982081592 | Bethel Burris Oliver Pllc | Dentist | 3245 E. Race St, Searcy, AR 72143 | 2015-05-04 |
1053798116 | Ronnie Harlow | Rehabilitation Practitioner | 1005 East Park, Jim Citty Football and Athletic Training Facility, Searcy, AR 72143 | 2015-04-28 |
Find all providers in zip 72143 |
Taxonomy Code | 261QV0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | VA |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528456811 | Fayetteville Vamc | Clinic/Center | 216 East Township Street, Fayetteville, AR 72703-2818 | 2015-01-08 |
1073821518 | Little Rock Vamc | Clinic/Center | 1520 E Dave Ward Dr, Conway, AR 72032-9649 | 2010-09-17 |
1831415751 | Fayetteville Vamc | Clinic/Center | 2713 W Commercial St, Ozark, AR 72949-3409 | 2010-04-16 |
1649401316 | Memphis Vamc | Clinic/Center | 125 Quarles Ln, West Helena, AR 72390-1923 | 2009-07-29 |
1508809948 | St. Louis Jc Vamc | Clinic/Center | 2420 Linwood Dr, Suite 3, Paragould, AR 72450-6122 | 2006-06-14 |
1417996489 | Shreveport Vamc | Clinic/Center | 910 Realtor Road, Texarkana, AR 71854-1020 | 2006-06-05 |
1063450617 | Little Rock Vamc | Clinic/Center | 759 Highway 62 E, Suite 331, Mountain Home, AR 72653-3260 | 2006-06-04 |
1861439697 | Little Rock Vamc | Clinic/Center | 300 Morrow St S, Mena, AR 71953 | 2006-06-01 |
1619923398 | Memphis Vamc | Clinic/Center | 2908 S Caraway Rd Ste B, Jonesboro, AR 72401-7306 | 2006-05-25 |
1215982582 | Little Rock Vamc | Clinic/Center | 177 Sawtooth Oak St, Hot Springs, AR 71901-7160 | 2006-05-24 |
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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.