OKLAHOMA CITY VAMC (NPI# 1104308824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104308824 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA CITY VAMC |
| Other Organization Name | OKLAHOMA CITY 1 VA CLINIC |
| Practice Address |
1301 Ne 14th St Oklahoma City OK 73117-2018 |
| Mailing Address |
Po Box 94537 Cleveland OH 44101-4537 |
| Practice Telephone | 6153553451 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Authorized Official Name | CAROL WILSON (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 |
|---|---|
| OKLAHOMA CITY 1 VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157065 | Oklahoma City Vamc | Clinic/Center | 1808 Commons Cir Ste B, Yukon, OK 73099-9518 | 2020-09-01 |
| 1598391716 | Oklahoma City Vamc | Clinic/Center | 7050 Air Depot Blvd Ste 1094, Tinker Afb, OK 73145-8716 | 2020-03-19 |
| 1215572656 | Oklahoma City Vamc | Clinic/Center | 315 W Gary Blvd, Clinton, OK 73601-2835 | 2019-11-08 |
| 1750583563 | Oklahoma City Vamc | Department of Veterans Affairs (VA) Pharmacy | 4303 Pittman & Thomas Road, Bldg 4303, Fort Sill, OK 73503-4473 | 2007-06-04 |
| 1982738852 | Oklahoma City Vamc | Clinic/Center | 717 Better Now Plz, Ada, OK 74820-2279 | 2007-03-15 |
| 1578506382 | Oklahoma City Vamc | Clinic/Center | 4303 Pitman and Thomas Road, Building 4303, Fort Sill, OK 73503-4473 | 2006-06-13 |
| 1275573016 | Oklahoma City Vamc | Clinic/Center | 2600 Central Fwy Ste 180, Wichita Falls, TX 76306-2850 | 2006-06-08 |
| 1780635128 | Oklahoma City Vamc | Clinic/Center | 1235 12th Ave Nw, Ardmore, OK 73401-1578 | 2006-05-12 |
| 1568076313 | Oklahoma City Vamc | Clinic/Center | 1020 24th Ave Nw, Norman, OK 73069-6341 | 2020-08-31 |
| 1720615610 | Oklahoma City Vamc | Clinic/Center | 2640 Miner Road, Suite 2640, Fort Sill, OK 73503-8889 | 2020-03-23 |
| Street Address |
1301 NE 14TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73117-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623271 | Katelyn Gerth | Student in an Organized Health Care Education/Training Program | University of Oklahoma College of Medicine, 800 Stanton L. Young Blvd, Oklahoma City, OK 73117 | 2020-06-12 |
| 1114401387 | Northstar Counseling Associates, LLC | Counselor | 4540 E Reno Ave, Del City, OK 73117 | 2018-09-24 |
| 1801300710 | Kenneth Belyeu | Peer Specialist | 625 N Nebraska, Okc, OK 73117 | 2017-11-30 |
| 1215483029 | Brian Behnum Minavi | Dentist | 1201 N. Stonewall Ave., Oklahoma City, OK 73117 | 2016-08-31 |
| 1649631409 | April Ajanwachukwu | Social Worker | 1309 N Nebraska Ave, Oklahoma City, OK 73117 | 2016-03-08 |
| 1518340405 | Shachi Shah | Dentist | 1201 N Stonewall Ave # 544n, Oklahoma City, OK 73117 | 2015-07-09 |
| 1063829067 | Lauren Marie Pierce | Speech-Language Pathologist | 1200 N. Stonewall Ave, Ahb 1058, Oklahoma City, OK 73117 | 2014-07-22 |
| 1306195235 | Rachel Devecchio | Case Manager/Care Coordinator | 1300 Ne 13th St, Oklahoma City, OK 73117 | 2012-09-06 |
| 1265780837 | Tiffany Dawn Stokely | Counselor | 1701 E Park Pl, Oklahoma, OK 73117 | 2012-08-29 |
| 1689935645 | Everett House | Behavioral Analyst | 1100 Ne 15th St, Oklahoma Cituy, OK 73117 | 2012-06-06 |
| Find all providers in zip 73117 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699135079 | Oklahoma City Vamc | Clinic/Center | 7919 Mid America Blvd, Suite 300, Oklahoma City, OK 73135-6610 | 2016-02-29 |
| 1811385172 | Oklahoma City Vamc | Clinic/Center | 2915 Pine Ridge Rd, Oklahoma City, OK 73120-6111 | 2015-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157065 | Oklahoma City Vamc | Clinic/Center | 1808 Commons Cir Ste B, Yukon, OK 73099-9518 | 2020-09-01 |
| 1598391716 | Oklahoma City Vamc | Clinic/Center | 7050 Air Depot Blvd Ste 1094, Tinker Afb, OK 73145-8716 | 2020-03-19 |
| 1215572656 | Oklahoma City Vamc | Clinic/Center | 315 W Gary Blvd, Clinton, OK 73601-2835 | 2019-11-08 |
| 1184116857 | Muskogee Vamc | Clinic/Center | 5110 S Yale Ave Ste 200, Tulsa, OK 74135-7475 | 2018-05-30 |
| 1851815294 | Muskogee Vamc | Clinic/Center | 901 Se Washington St, Idabel, OK 74745-3333 | 2017-07-27 |
| 1326436676 | Muskogee Vamc | Clinic/Center | 2414 E Shawnee Rd, Muskogee, OK 74403-1530 | 2015-01-08 |
| 1740517275 | Muskogee Vamc | Clinic/Center | 269 S 7th St, Vinita, OK 74301-3737 | 2009-11-04 |
| 1982738852 | Oklahoma City Vamc | Clinic/Center | 717 Better Now Plz, Ada, OK 74820-2279 | 2007-03-15 |
| 1578506382 | Oklahoma City Vamc | Clinic/Center | 4303 Pitman and Thomas Road, Building 4303, Fort Sill, OK 73503-4473 | 2006-06-13 |
| 1780635128 | Oklahoma City Vamc | Clinic/Center | 1235 12th Ave Nw, Ardmore, OK 73401-1578 | 2006-05-12 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73117 |
Please comment or provide details below to improve the information on OKLAHOMA CITY 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.