VA HOSPITAL (NPI# 1073840583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073840583 |
| Entity Type | Organization |
| Organization Name | VA HOSPITAL |
| Practice Address |
1h Circle Drive Perry Point MD 21902-0468 |
| Mailing Address |
Po Box 468 Perry Point MD 21902-0468 |
| Practice Telephone | 4106422411 |
| Practice Fax Number | 4106421852 |
| Mailing Telephone | 4106422411 |
| Mailing Fax Number | 4106421852 |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |
| Authorized Official Name | MR. JOHN O'BRIEN O'BRIEN (SOCIAL WORKER) |
| Authorized Official Telephone | 4106057000 |
| Authorized Official Credential | MSW, LCSW-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 273Y00000X | Rehabilitation Unit | 15390 | MD | Hospital Units |
| Y | 283Q00000X | Psychiatric Hospital | 15390 | MD | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598149106 | Va Hospital | Military Hospital | 8967 Via Vista Cir, Las Vegas, NV 89147-6536 | 2015-07-13 |
| 1174860118 | Va Hospital | General Acute Care Hospital | 534 Altoona Pl, Pittsburgh, PA 15228-1204 | 2013-01-10 |
| 1306181300 | Va Hospital | Military Hospital | 138 Fremont Dr, Summerville, SC 29483-7759 | 2012-12-01 |
| 1306029137 | Va Hospital | Nursing Facility/Intermediate Care Facility | 532 Aana Ave, Baltic, SD 57003-2033 | 2007-12-15 |
| 1033229778 | Va Hospital | General Acute Care Hospital | 8222 Lone Bridge Ln, Humble, TX 77338-1726 | 2006-08-30 |
| 1780798314 | Va Hospital | Nursing Facility/Intermediate Care Facility | 7264 Madison Circle, Union City, GA 30291 | 2006-08-19 |
| 1942210083 | Va Hospital | General Acute Care Hospital | 2014 Monarch Hollow Ln, Katy, TX 77449-7093 | 2006-08-09 |
| 1154340446 | Va Hospital | General Acute Care Hospital | 1201 N. W. 16 St., Miami, FL 33125 | 2006-07-18 |
| 1801296900 | Va Hospital | Psychiatric Unit | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2014-08-26 |
| 1023450640 | Va Hospital | Nursing Facility/Intermediate Care Facility | University Drive C, Pittsburgh, PA 15240 | 2013-07-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | VA Hospitality L.L.C. | 5 Adams St, Edison, New Jersey 08820 |
| Street Address |
1H CIRCLE DRIVE |
| City | PERRY POINT |
| State | MD |
| Zip Code | 21902-0468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720173180 | Phillip Craig Nissen | Social Worker | 1h Circle Drive, Perry Point, MD 21902 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373159 | Daniel Vigus | Recreation Therapist | 59 Ave D, Perry Point, MD 21902 | 2020-10-15 |
| 1407471758 | Amanda Dawn Morris | Optometrist | Perry Point Va Medical Center - Va Maryland Health Care, Perry Point, MD 21902 | 2020-06-12 |
| 1639672835 | Sarah Nicole Cassatt | Dietitian, Registered | Perry Point Va Medical Center Avenue D & 8th St, Perry Point, MD 21902 | 2018-03-14 |
| 1669981809 | Kristyn Sanders | Social Worker | Avenue D & 8th St., Perry Point, MD 21902 | 2017-09-20 |
| 1093250342 | Maria Elana Bergeron | Nurse Practitioner | Bldg 25 Perry Point Va Medical Center, Perry Point, MD 21902 | 2016-12-22 |
| 1124572037 | Jonathan Raymond | Physical Therapist | Avenue D & 8th St, Perry Point, MD 21902 | 2016-08-09 |
| 1528435732 | Stanley Prochaska Jr. | Nurse Practitioner | 1 Avenue D, Perryville, MD 21902 | 2015-08-24 |
| 1346665437 | Doreen Carole Rupp | Social Worker | Avenue D, Building 19h, 244, Perry Point, MD 21902 | 2014-02-26 |
| 1457604944 | Justin Colin Everson | Internal Medicine | Building 19h, Room 270, Perry Point Va Medical Center, Perry Point, MD 21902 | 2012-10-21 |
| 1104198779 | Ashley Abell Carroll | Social Worker | 2h Circle Drive, Perry Point Veterans Affairs Medical Center, Perry Point, MD 21902 | 2012-01-30 |
| Find all providers in zip 21902 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356446132 | Veterans Administration | Psychiatric Hospital | Bldg 364 Ave. D, Perry Point, MD 21902 | 2006-09-14 |
| 1255569703 | Perry Point Vamc | Psychiatric Hospital | 0 Avenue D, Building 80h, Room 201, Perry Point, MD 21902-1003 | 2009-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780236992 | Anne Arundel Mental Health Hospital, Inc. | Psychiatric Hospital | 175 Harry S. Truman Pkwy, Annapolis, MD 21401-7305 | 2019-07-09 |
| 1811345697 | Department of Behavorial Health,st Elizabeth Hospital Dc | Psychiatric Hospital | 1519 Heather Hollow Cir, Apt 14, Silver Spring, MD 20904-2366 | 2016-06-02 |
| 1366792251 | Lauren Marie Matthews | Psychiatric Hospital | 12524 Triple Crown Rd, North Potomac, MD 20878-3746 | 2012-09-18 |
| 1578810693 | Wrnmmcb | Psychiatric Hospital | Bldg 19 Room 6407 8901 Wisconsin Ave, Department of Psychiatry, Bethesda, MD 20889 | 2012-08-08 |
| 1558648410 | Brook Lane Behavioral Services, Inc. | Psychiatric Hospital | 4540b Mack Avenue, Frederick, MD 21701 | 2011-11-07 |
| 1588810972 | Dhmh Upper Shore Community Mental Health | Psychiatric Hospital | 300 Scheeler Road, Chestertown, MD 21620 | 2008-08-18 |
| 1851324164 | Sheppard Pratt Health System, Inc. | Psychiatric Hospital | 4100 College Ave, Ellicott City, MD 21041-0836 | 2006-07-09 |
| 1629009311 | Daniel S Smithpeter Md | Psychiatric Hospital | 29466 Pintail Drive, Ste 9, Easton, MD 21601 | 2006-07-05 |
| 1316918048 | Brook Lane Health Services, Inc. | Psychiatric Hospital | 13215 Brook Lane, Hagerstown, MD 21742-1435 | 2006-01-31 |
| 1760468623 | Comptroller of Maryland Central Payroll Bureau | Psychiatric Hospital | 630 W Fayette St, Baltimore, MD 21201 | 2005-12-21 |
| Find all providers with the same taxonomy | ||||
| City | PERRY POINT |
| Zip Code | 21902 |
Please comment or provide details below to improve the information on VA HOSPITAL.
| 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.