SALEM VAMC (NPI# 1154626125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154626125 |
| Entity Type | Organization |
| Organization Name | SALEM VAMC |
| Other Organization Name | WYTHEVILLE VA CLINIC |
| Practice Address |
165 Peppers Ferry Rd Wytheville VA 24382-2363 |
| Mailing Address |
Po Box 89457 Cleveland OH 44101-6457 |
| Practice Telephone | 8282572333 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2018-04-13 |
| 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 |
|---|---|
| WYTHEVILLE VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245283878 | Salem Vamc | Clinic/Center | 705 Piney Forest Rd, Danville, VA 24540-2860 | 2006-05-17 |
| 1982986006 | Salem Vamc | Clinic/Center | 102 Lacy B King Way, Staunton, VA 24401-4594 | 2011-09-14 |
| 1851554232 | Salem Vamc | Clinic/Center | 1600 Lakeside Dr, Lynchburg, VA 24501-3116 | 2008-07-07 |
| 1124067012 | Salem Vamc | Clinic/Center | 388 Ben Bolt Ave, Tazewell, VA 24651 | 2006-06-06 |
| 1841242377 | Salem Vamc | General Acute Care Hospital | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2006-05-16 |
| 1033177597 | Salem Vamc | Department of Veterans Affairs (VA) Pharmacy | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2006-05-03 |
| Street Address |
165 PEPPERS FERRY RD |
| City | WYTHEVILLE |
| State | VA |
| Zip Code | 24382-2363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669421020 | David B Brunstetter | Psychiatry & Neurology | 165 Peppers Ferry Rd, Wytheville, VA 24382-2363 | 2006-05-10 |
| 1316319304 | Virginia Kennedy | Social Worker | 165 Peppers Ferry Rd, Wytheville, VA 24382-2070 | 2015-10-29 |
| 1932441003 | Brandon Jason Baumgardner | Occupational Therapist | 165 Peppers Ferry Rd, Wytheville, VA 24382-2070 | 2013-03-26 |
| 1396025631 | Nicholas Weatherton | Pharmacist | 165 Peppers Ferry Rd, Wytheville, VA 24382-2070 | 2011-08-18 |
| 1114223104 | Lori Watson Baumgardner | Dietitian, Registered | 165 Peppers Ferry Rd, Wytheville, VA 24382-2070 | 2011-02-08 |
| 1053561456 | Miracle Yvonne Carner | Social Worker | 165 Peppers Ferry Rd, Wytheville, VA 24382-2070 | 2008-09-23 |
| 1902055544 | Michael Angelo Battaglia | Internal Medicine | 165 Peppers Ferry Rd, Wytheville, VA 24382-2070 | 2008-09-18 |
| 1932136777 | Dana L Sworsy | Social Worker | 165 Peppers Ferry Rd, Wytheville, VA 24382-2070 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709118 | Pt Solutions LLC | Physical Therapist | 1050 Holston Road, Wytheville, VA 24382 | 2020-01-10 |
| 1881233377 | Amie S Newberry | Physical Therapist | 1050 Holston Rd, Wytheville, VA 24382 | 2019-12-31 |
| 1174160618 | Erin Leigh Dejesus | Family Medicine | 375 W Ridge Rd, Wytheville, VA 24382 | 2019-12-03 |
| 1629639497 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 425 Grayson Presbyterian Road, Wytheville, VA 24382 | 2019-06-24 |
| 1023527926 | Emily Kingrey | Occupational Therapist | 800 E Main St., Suite 310, Wytheville, VA 24382 | 2017-09-22 |
| 1184149247 | Linda Huber | Driver | 610 E Washington St, Wytheville, VA 24382 | 2017-08-10 |
| 1578987558 | Family Preservation Services, Inc | Community/Behavioral Health | 695 East Marshall Street, Wytheville, VA 24382 | 2014-02-11 |
| 1255774121 | Forest Pharmacy Inc | Pharmacy | 1787 W Lee Highway, Suite B, Wytheville, VA 24382 | 2013-04-10 |
| 1447500400 | Guardian Pharmacy of Virginia LLC | Pharmacy | 860 Stafford Umberger Dr, Wytheville, VA 24382 | 2012-09-17 |
| 1669604385 | Catherine Elizabeth Russell | Physical Therapist | 710 West Ridge Rd, Suites E & F, Wytheville, VA 24382 | 2009-08-13 |
| Find all providers in zip 24382 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730698 | Richmond Vamc | Clinic/Center | 7702 E Parham Rd Ste 201, Richmond, VA 23294-4372 | 2020-11-03 |
| 1629448469 | Hampton Vamc | Clinic/Center | 1987 S Military Hwy, Chesapeake, VA 23320-4422 | 2015-10-06 |
| 1609250455 | Safe Hands Home Health Care LLC | Clinic/Center | 116 Nancy Dr Apt W1, Suffolk, VA 23434-4894 | 2015-07-11 |
| 1316335680 | Mountain Home Vamc | Clinic/Center | 32613 Wilderness Road, Suite 101, Jonesville, VA 24263-9998 | 2015-01-08 |
| 1497143531 | Mountain Home Vamc | Clinic/Center | 4451 Lee Highway, Marion, VA 24354-9998 | 2014-12-23 |
| 1306234448 | Mountain Home Vamc | Clinic/Center | 1941 Lover's Gap Lane, Suite A, Vansant, VA 24656-9998 | 2014-12-23 |
| 1114292737 | Eyecare Center Corp | Clinic/Center | 4229 Jefferson Oaks Cir, K, Fairfax, VA 22033-4071 | 2012-03-14 |
| 1427353614 | Ardis Dentistry | Clinic/Center | 1445 Johnston Willis Drive, Suite A, Cjw Medical Center, Richmond, VA 23235-4885 | 2011-01-19 |
| 1124337258 | Danny J. Minor, D.c.,p.c. | Clinic/Center | 936 Park Ave Nw, Norton, VA 24273-1821 | 2010-10-07 |
| 1598072902 | Richmond Vamc | Clinic/Center | 1746 E Atlantic St, Emporia, VA 23847-6584 | 2010-09-07 |
| Find all providers with the same taxonomy | ||||
| City | WYTHEVILLE |
| Zip Code | 24382 |
Please comment or provide details below to improve the information on SALEM 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.