DURHAM VAMC (NPI# 1124475892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124475892 |
| Entity Type | Organization |
| Organization Name | DURHAM VAMC |
| Other Organization Name | RALEIGH 1 VA CLINIC |
| Practice Address |
2600 Atlantic Ave Suite 200 Raleigh NC 27604-1502 |
| Mailing Address |
Po Box 89482 Cleveland OH 44101-6482 |
| Practice Telephone | 8282573777 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2018-04-11 |
| 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 |
|---|---|
| RALEIGH 1 VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446105 | Durham Vamc | Clinic/Center | 11618 Us 70 Business Highway West, Suites 100 and 200, Clayton, NC 27520-2275 | 2020-01-17 |
| 1609274943 | Durham Vamc | Clinic/Center | 8081 Arco Corporate Dr, Suite 103, Raleigh, NC 27617-2041 | 2014-12-19 |
| 1023056488 | Durham Vamc | Clinic/Center | 5240 Highway 70 W, Morehead City, NC 28557-4506 | 2006-06-04 |
| 1225432248 | Durham Vamc | Department of Veterans Affairs (VA) Pharmacy | 401 Moye Blvd, Greenville, NC 27834-2885 | 2014-10-20 |
| 1013324110 | Durham Vamc | Clinic/Center | 1824 Hillandale Rd, Durham, NC 27705-2650 | 2014-07-21 |
| 1972910057 | Durham Vamc | Clinic/Center | 3040 Hammond Business Pl, Suite 105, Raleigh, NC 27603-3666 | 2014-07-21 |
| 1104233204 | Durham Vamc | Clinic/Center | 1830 Hillandale Rd, Durham, NC 27705-2670 | 2014-07-21 |
| 1417109471 | Durham Vamc | Clinic/Center | 508 Fulton St, Durham, NC 27705-3875 | 2008-10-21 |
| 1720251275 | Durham Vamc | Military Hospital | Duke University Medical Center, Erwin Rd, Durham, NC 27710-0001 | 2008-04-04 |
| 1760420855 | Durham Vamc | Clinic/Center | 3305 Sungate Blvd, Raleigh, NC 27610-2871 | 2006-06-02 |
| Street Address |
2600 ATLANTIC AVE SUITE 200 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27604-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114926250 | Lanning R Newell | Specialist | 2600 Atlantic Ave, Raleigh, NC 27604-1502 | 2005-07-20 |
| 1376814368 | Stelor, LLC | Clinic/Center | 2600 Atlantic Ave, Raleigh, NC 27604-1502 | 2012-01-23 |
| 1417911322 | Triangle Gastroenterology Pllc | Clinic/Center | 2600 Atlantic Ave, Raleigh, NC 27604-1502 | 2006-04-17 |
| 1518938521 | Anil Prakash Tumbapura | Specialist | 2600 Atlantic Ave, Raleigh, NC 27604-1502 | 2006-01-28 |
| 1477524783 | John Plummer Holt | Specialist | 2600 Atlantic Ave, Raleigh, NC 27604-1502 | 2006-01-27 |
| 1356312664 | Hirendra Navinchandr Doshi | Specialist | 2600 Atlantic Ave, Raleigh, NC 27604-1502 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326669748 | Monet Josey | Counselor | 3020 Highwood Blvd, Raleigh, NC 27604 | 2020-04-27 |
| 1154979094 | Ride4health Transportation Inc | Non-emergency Medical Transport (VAN) | 3200 Capital Blvd, Raleigh, NC 27604 | 2019-09-03 |
| 1851890750 | Sasilana Letreva Burden | In Home Supportive Care | 4000 Northstone Drive Apt 307, Raleigh, NC 27604 | 2018-02-06 |
| 1093226383 | The Eye Institute Od, Pa | Optometrist | 111 Seaboard Ave Ste 110, Raleigh, NC 27604 | 2017-10-13 |
| 1902326044 | Ngozi Ifeoma Osiebo | Nurse Practitioner | 4608 Wedgewood Drive, Raleigh, NC 27604 | 2017-06-20 |
| 1144765520 | Rose Hill Family Care Home | Custodial Care Facility | 1705 Beacon Bluff Street, Raleigh, NC 27604 | 2016-12-21 |
| 1437609948 | Mercy Manor At Saybrooke, Inc | Custodial Care Facility | 6320 Saybrooke Drive, Raleigh, NC 27604 | 2016-10-07 |
| 1972969913 | Shivas Gilotra | Nurse Practitioner | 805 Oberlin Road, Ste 200, Raleigh, NC 27604 | 2016-01-06 |
| 1609247915 | Charisse Justine Young | Social Worker | 2609 Atlantic Avenue, Suite 111c, Raleigh, NC 27604 | 2015-10-13 |
| 1356748933 | John T Hart | Counselor | 1115-113 Cove Bridge Road, Raleigh, NC 27604 | 2014-11-26 |
| Find all providers in zip 27604 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609274943 | Durham Vamc | Clinic/Center | 8081 Arco Corporate Dr, Suite 103, Raleigh, NC 27617-2041 | 2014-12-19 |
| 1972910057 | Durham Vamc | Clinic/Center | 3040 Hammond Business Pl, Suite 105, Raleigh, NC 27603-3666 | 2014-07-21 |
| 1760420855 | Durham Vamc | Clinic/Center | 3305 Sungate Blvd, Raleigh, NC 27610-2871 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446105 | Durham Vamc | Clinic/Center | 11618 Us 70 Business Highway West, Suites 100 and 200, Clayton, NC 27520-2275 | 2020-01-17 |
| 1659879138 | Fayetteville Vamc | Clinic/Center | 4 Josh Ct, Jacksonville, NC 28546-0052 | 2018-01-30 |
| 1194256362 | Fayetteville Vamc | Clinic/Center | 4101 Raeford Road, Suite 100-b, Fayetteville, NC 28304-4114 | 2017-03-21 |
| 1457719312 | Salisbury Vamc | Clinic/Center | 3506 W Tyvola Road, Charlotte, NC 28208-9998 | 2016-02-08 |
| 1124422308 | Fayetteville Vamc | Clinic/Center | 306 Brynn Marr Rd, Jacksonville, NC 28546-7023 | 2014-10-16 |
| 1962819052 | Fayetteville Vamc | Clinic/Center | 18 Doctors Cir Ste 2, Supply, NC 28462-4089 | 2014-07-21 |
| 1114270212 | Fayetteville Vamc | Clinic/Center | 3112 Tramway Road, Sanford, NC 27332-9998 | 2012-10-26 |
| 1174800585 | Hampton Vamc | Clinic/Center | 1845 West City Drive, Elizabeth City, NC 27909-9633 | 2011-11-14 |
| 1912201146 | Fayetteville Vamc | Clinic/Center | 139 Three Hunts Drive, Pembroke, NC 28372-6800 | 2011-01-03 |
| 1811225428 | Asheville Vamc | Clinic/Center | 2270 College Ave Ste 145, Forest City, NC 28043-2459 | 2009-11-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DURHAM 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.