MONTROSE VAMC (NPI# 1104863760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104863760 |
| Entity Type | Organization |
| Organization Name | MONTROSE VAMC |
| Other Organization Name | PORT JERVIS VA CLINIC |
| Practice Address |
100 Pike St Port Jervis NY 12771-1831 |
| Mailing Address |
Po Box 3021 Lebanon PA 17042-3021 |
| Practice Telephone | 7172776565 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-02-04 |
| 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 |
|---|---|
| PORT JERVIS VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467649897 | Montrose Vamc | Clinic/Center | 2881 Church St, Route 199, Pine Plains, NY 12567-5545 | 2007-10-01 |
| 1144275553 | Montrose Vamc | Clinic/Center | 55 Sturgis Rd, Monticello, NY 12701-1225 | 2006-05-23 |
| 1437100203 | Montrose Vamc | Clinic/Center | 1875 Route 6, Provident Bank, (2nd Floor), Carmel, NY 10512-2316 | 2006-05-15 |
| 1063460798 | Montrose Vamc | Department of Veterans Affairs (VA) Pharmacy | 2094 Albany Post Rd., Route 9a, Montrose, NY 10548-1454 | 2006-05-05 |
| 1225086325 | Montrose Vamc | Department of Veterans Affairs (VA) Pharmacy | Route 9d North, Castle Point, NY 12511-0001 | 2006-05-04 |
| 1477913788 | Montrose Vamc | Psychiatric Residential Treatment Facility | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2016-02-29 |
| 1437557089 | Montrose Vamc | Clinic/Center | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2014-12-15 |
| 1528466174 | Montrose Vamc | Clinic/Center | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2014-12-15 |
| 1073911624 | Montrose Vamc | Clinic/Center | 2094 Albany Post Rd, Montrose, NY 10548-1454 | 2014-12-15 |
| 1033153770 | Montrose Vamc | Clinic/Center | 488 Freedom Plains Rd, Freedom Executive Park, Ste 120, Poughkeepsie, NY 12603-2689 | 2006-06-15 |
| Street Address |
100 PIKE ST |
| City | PORT JERVIS |
| State | NY |
| Zip Code | 12771-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821310715 | Sirisha Parupalli | Pharmacist | 100 Pike St, Port Jervis, NY 12771-1831 | 2010-02-19 |
| 1407011752 | Kathleen Marie Lamont | Pharmacist | 100 Pike St, Port Jervis, NY 12771-1831 | 2008-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164045571 | Mary Ann Ricci | Counselor | 155 West Main, Port Jervis, NY 12771 | 2020-05-20 |
| 1982236022 | Jylian Ann Jackson | Social Worker | 146 Pike Street Outpatient Clinic, Port Jervis, NY 12771 | 2020-02-06 |
| 1336605591 | Dominic James Costantino | Physical Therapist | 17 Franklin Street, Port Jervis, NY 12771 | 2019-02-13 |
| 1871011775 | Pamela Ann Gluck | Counselor | 17 Sussex Street, Port Jervis, NY 12771 | 2017-08-31 |
| 1891211868 | Jamie Muller | Home Health Aide | 12 Mt William St, Port Jervis, NY 12771 | 2017-08-21 |
| 1922456649 | Greenville Township Volunteer Ambulance Corps Inc | Ambulance | 1495 Greenville Turnpike, Port Jervis, NY 12771 | 2016-06-03 |
| 1659702363 | Agnes Timberger | Social Worker | 626 Eatontown Road, Port Jervis, NY 12771 | 2013-12-05 |
| 1962795708 | Olga I Murray | Registered Nurse | 125 E. Main St., Port Jervis, NY 12771 | 2011-05-26 |
| 1407089444 | Daniel David Gersten | Counselor | 17-19 Sussex Street, Port Jervis, NY 12771 | 2009-08-25 |
| 1447404736 | Ann Marie Brown | Counselor | 136 Jersey Avenue, Suite 1, Port Jervis, NY 12771 | 2008-11-13 |
| Find all providers in zip 12771 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518519693 | Domingo Colon | Clinic/Center | 101 Pondfield Rd W, Bronxville, NY 10708-2100 | 2019-07-10 |
| 1033517602 | Buffalo Vamc | Clinic/Center | 910 Erie Boulevard East, 2nd Floor, Syracuse, NY 13210-1060 | 2014-12-15 |
| 1366840969 | Buffalo Vamc | Clinic/Center | 572 South Salina Street, Syracuse, NY 13202-3320 | 2014-12-12 |
| 1467649897 | Montrose Vamc | Clinic/Center | 2881 Church St, Route 199, Pine Plains, NY 12567-5545 | 2007-10-01 |
| 1538350616 | Vet Center | Clinic/Center | 17 Computer Dr W, Albany, NY 12205-1614 | 2007-08-05 |
| 1952339400 | Buffalo Vamc | Clinic/Center | 324 Plaza Road, Kingston, NY 12401 | 2006-06-30 |
| 1245270065 | Bronx Vamc | Clinic/Center | 23 S Broadway, White Plains, NY 10601-3503 | 2006-06-08 |
| 1184664567 | Buffalo Vamc | Clinic/Center | 295 River St, Troy, NY 12180-3215 | 2006-06-07 |
| 1174563548 | Soho Community Clinic | Clinic/Center | 245 W Houston St, Room 313, New York, NY 10014-4805 | 2006-06-07 |
| 1487693362 | New York Vamc | Clinic/Center | 1150 South Ave, 3rd Floor-suite 301, Staten Island, NY 10314-3404 | 2006-06-06 |
| Find all providers with the same taxonomy | ||||
| City | PORT JERVIS |
| Zip Code | 12771 |
Please comment or provide details below to improve the information on MONTROSE 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.