KANSAS CITY VAMC (NPI# 1134375546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134375546 |
| Entity Type | Organization |
| Organization Name | KANSAS CITY VAMC |
| Other Organization Name | JEFFERSON CITY VA CLINIC |
| Practice Address |
3430 W Edgewood Dr Jefferson City MO 65109-6961 |
| Mailing Address |
Po Box 94458 Cleveland OH 44101-4458 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2019-03-20 |
| 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 |
|---|---|
| Jefferson City VA Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538542188 | Kansas City Vamc | Clinic/Center | 2303 Higgins Road, Suite F, Platte City, MO 64079-7101 | 2015-07-01 |
| 1649660861 | Kansas City Vamc | Clinic/Center | 935 South Parklane, Wichita, KS 67218-3210 | 2015-01-26 |
| 1912397134 | Kansas City Vamc | Clinic/Center | 949 South Parklane, Wichita, KS 67218-3210 | 2015-01-26 |
| 1487061446 | Kansas City Vamc | Clinic/Center | 4251 Northern Avenue, Kansas City, MO 64133-1593 | 2014-07-22 |
| 1396098497 | Kansas City Vamc | Clinic/Center | 6830 Anderson Street, Shawnee, KS 66226-9998 | 2012-10-26 |
| 1720301682 | Kansas City Vamc | Clinic/Center | 3320 W 10th St, Sedalia, MO 65301-2111 | 2010-03-08 |
| 1457394033 | Kansas City Vamc | Clinic/Center | 207 Matlock Drive, St. James, MO 65559-9998 | 2006-06-13 |
| 1235171083 | Kansas City Vamc | Clinic/Center | 1907 Harding Dr, Parsons, KS 67357-8111 | 2006-06-12 |
| 1609818459 | Kansas City Vamc | Clinic/Center | 702 E Young Ave, Warrensburg, MO 64093-9610 | 2006-06-12 |
| 1588606750 | Kansas City Vamc | Clinic/Center | 501 S Hospital Dr, Paola, KS 66071-2103 | 2006-06-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KANSAS CITY VAMC | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 |
| Street Address |
3430 W EDGEWOOD DR |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-6961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992264824 | Fayetteville Vamc | Clinic/Center | 3015 Connecticut Ave, Joplin, MO 64804-3035 | 2019-03-19 |
| 1538542188 | Kansas City Vamc | Clinic/Center | 2303 Higgins Road, Suite F, Platte City, MO 64079-7101 | 2015-07-01 |
| 1114317369 | St. Louis Jc Vamc | Clinic/Center | 2600 Washington Boulevard, St. Louis, MO 63103-1420 | 2015-01-27 |
| 1396135513 | St. Louis Jc Vamc | Clinic/Center | 3615 Olive Street, St. Louis, MO 63108-3604 | 2015-01-26 |
| 1487061446 | Kansas City Vamc | Clinic/Center | 4251 Northern Avenue, Kansas City, MO 64133-1593 | 2014-07-22 |
| 1902198922 | St. Louis Jc Vamc | Clinic/Center | 1627 A Roy Dr, Washington, MO 63090-5008 | 2011-05-10 |
| 1720301682 | Kansas City Vamc | Clinic/Center | 3320 W 10th St, Sedalia, MO 65301-2111 | 2010-03-08 |
| 1518155878 | St. Louis Jc Vamc | Clinic/Center | 6854 Parker Rd, Florissant, MO 63033-5313 | 2007-10-11 |
| 1457394033 | Kansas City Vamc | Clinic/Center | 207 Matlock Drive, St. James, MO 65559-9998 | 2006-06-13 |
| 1609818459 | Kansas City Vamc | Clinic/Center | 702 E Young Ave, Warrensburg, MO 64093-9610 | 2006-06-12 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
Please comment or provide details below to improve the information on KANSAS 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.