MONTGOMERY VAMC (NPI# 1063755668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063755668 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY VAMC |
| Other Organization Name | MONROEVILLE VA CLINIC |
| Practice Address |
159 Whetstone St Monroeville AL 36460-2625 |
| Mailing Address |
Po Box 89470 Cleveland OH 44101-6470 |
| Practice Telephone | 8282572333 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2018-04-12 |
| 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 |
|---|---|
| MONROEVILLE VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265898670 | Montgomery Vamc | Department of Veterans Affairs (VA) Pharmacy | 801 Veterans Way, Montgomery, AL 36117-9998 | 2016-01-14 |
| 1982074720 | Montgomery Vamc | Clinic/Center | 6635 Bass Road, Bldg. 9214, Fort Benning, GA 31905-9998 | 2015-10-06 |
| 1679526131 | Montgomery Vamc | Clinic/Center | 2020 Alexander Dr, Dothan, AL 36301-3004 | 2006-05-18 |
| 1255383311 | Montgomery Vamc | Clinic/Center | 1310 13th Ave, Columbus, GA 31901-2335 | 2006-05-17 |
| 1255389730 | Montgomery Vamc | Department of Veterans Affairs (VA) Pharmacy | 2400 Hospital Road, Tuskegee, AL 36083-5001 | 2006-05-05 |
| 1801854146 | Montgomery Vamc | Department of Veterans Affairs (VA) Pharmacy | 215 Perry Hill Road, Montgomery, AL 36109-3725 | 2006-05-03 |
| 1942665278 | Montgomery Vamc | Clinic/Center | 8105 Veterans Way, Montgomery, AL 36117-9998 | 2015-12-31 |
| 1518355650 | Montgomery Vamc | Clinic/Center | 3753 Ross Clark Circle, Suite 4, Dothan, AL 36303-2291 | 2014-12-23 |
| 1790015402 | Montgomery Vamc | Clinic/Center | 301 Andrews Avenue, Ft. Rucker, AL 36362-7836 | 2009-12-31 |
| 1497809289 | Montgomery Vamc | Clinic/Center | 3753 Ross Clark Cir, Suite 4, Dothan, AL 36303-2295 | 2007-01-22 |
| Street Address |
159 WHETSTONE ST |
| City | MONROEVILLE |
| State | AL |
| Zip Code | 36460-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639384100 | Salem George Saloom | Surgery | 159 Whetstone St, Monroeville, AL 36460-2625 | 2007-05-10 |
| 1780181081 | Ashley M Sellers | Nurse Practitioner | 159 Whetstone St, Monroeville, AL 36460-2625 | 2018-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639710288 | Nickie Monique Hudson | Counselor | 241 South Alabama Ave, Monroeville, AL 36460 | 2019-10-04 |
| 1275056525 | Rural Urgent Care LLC | Clinic/Center | 1195 S Alabama Ave, Monroeville, AL 36460 | 2017-07-19 |
| 1053790907 | Stregwill Homes of Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3170 Hwy 21 Bypass, Monroeville, AL 36460 | 2015-05-26 |
| 1053592295 | Monroe County Health Care Authority | Family Medicine | 1075 Drewry Road, Monroeville, AL 36460 | 2007-11-15 |
| 1285846717 | Advantage Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 1979 Hwy 21 Bypass, Monroeville, AL 36460 | 2007-05-04 |
| 1306995618 | Philen and Powell Inc | Pharmacy | 55 Mayfield St, Monroeville, AL 36460 | 2007-01-09 |
| 1841375110 | Monroeville Radiation Oncology | Radiology | 200 Rumbley Road, Monroeville, AL 36460 | 2006-10-26 |
| 1215042403 | Bruno's Supermarket, LLC. | Durable Medical Equipment & Medical Supplies | 512 Pike Street, Monroeville, AL 36460 | 2006-08-20 |
| 1881628162 | Southwest Alabama Behavioral Health Care Systems | Clinic/Center | 328 West Claiborne Street, Monroeville, AL 36460 | 2006-07-10 |
| 1740283548 | Albert R Boroughs Iv | Family Medicine | 75 Highway 136 W, Monroeville, AL 36460 | 2005-05-24 |
| Find all providers in zip 36460 | ||||
| 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 |
| 1003857764 | Biloxi Vamc | Clinic/Center | 4444 Demetropolis Rd, Mobile, AL 36619-9602 | 2006-06-10 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | MONROEVILLE |
| Zip Code | 36460 |
Please comment or provide details below to improve the information on MONTGOMERY 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.