INDIANAPOLIS VAMC (NPI# 1164992897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164992897 |
| Entity Type | Organization |
| Organization Name | INDIANAPOLIS VAMC |
| Practice Address |
5315 Lafayette Rd Indianapolis IN 46254-1618 |
| Mailing Address |
Po Box 5303 Madison WI 53705-0303 |
| Practice Telephone | 6088217200 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |
| Authorized Official Name | ERIN DENISE 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 |
|---|---|
| INDIANAPOLIS 3 VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042869 | Indianapolis Vamc | Clinic/Center | 300 Highway 361 Ste 2516, Crane, IN 47522-4000 | 2020-01-21 |
| 1831697598 | Indianapolis Vamc | Psychiatric Residential Treatment Facility | 9045 E 59th St Bldg 402, Indianapolis, IN 46216-1030 | 2018-01-29 |
| 1790173078 | Indianapolis Vamc | Clinic/Center | 1332 Arch Haven Avenue, Bloomington, IN 47403-2079 | 2015-01-08 |
| 1154719045 | Indianapolis Vamc | Clinic/Center | 777 N Meridian St Ste 200, Indianapolis, IN 46204-1420 | 2014-12-31 |
| 1982092870 | Indianapolis Vamc | Clinic/Center | 4612 South Springhill Junction, Terre Haute, IN 47802-9998 | 2014-12-31 |
| 1326087271 | Indianapolis Vamc | Clinic/Center | 380 W Honey Creek Dr, Terre Haute, IN 47802-3720 | 2006-06-06 |
| 1831140417 | Indianapolis Vamc | Clinic/Center | 2100 S Liberty Dr, Bloomington, IN 47403-5147 | 2006-05-16 |
| 1982662789 | Indianapolis Vamc | Department of Veterans Affairs (VA) Pharmacy | 1481 West 10th Street, Indianapolis, IN 46202 | 2006-05-02 |
| 1235625088 | Indianapolis Vamc | Clinic/Center | 30 W Rampart St, Shelbyville, IN 46176-8846 | 2018-07-05 |
| 1730682352 | Indianapolis Vamc | Clinic/Center | 2669 Cold Spring Rd, Indianapolis, IN 46222-6211 | 2018-03-09 |
| Street Address |
5315 LAFAYETTE RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46254-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
| 1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
| 1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
| 1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
| 1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
| 1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
| 1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
| 1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
| Find all providers in zip 46254 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154719045 | Indianapolis Vamc | Clinic/Center | 777 N Meridian St Ste 200, Indianapolis, IN 46204-1420 | 2014-12-31 |
| 1730682352 | Indianapolis Vamc | Clinic/Center | 2669 Cold Spring Rd, Indianapolis, IN 46222-6211 | 2018-03-09 |
| 1124435185 | Indianapolis Vamc | Clinic/Center | 3850 Shore Drive, Suite 203, Indianapolis, IN 46254-2610 | 2014-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042869 | Indianapolis Vamc | Clinic/Center | 300 Highway 361 Ste 2516, Crane, IN 47522-4000 | 2020-01-21 |
| 1508219858 | Marion Vamc | Clinic/Center | 340 Columbia Place, South Bend, IN 46601-2339 | 2016-07-21 |
| 1346629367 | Marion Vamc | Clinic/Center | 2500 E State Blvd, Fort Wayne, IN 46805-4728 | 2015-05-22 |
| 1790173078 | Indianapolis Vamc | Clinic/Center | 1332 Arch Haven Avenue, Bloomington, IN 47403-2079 | 2015-01-08 |
| 1982092870 | Indianapolis Vamc | Clinic/Center | 4612 South Springhill Junction, Terre Haute, IN 47802-9998 | 2014-12-31 |
| 1720172174 | Va Hospital - Marion, In | Clinic/Center | 1700 East 38 Street, Marion, IN 46953 | 2006-10-02 |
| 1326087271 | Indianapolis Vamc | Clinic/Center | 380 W Honey Creek Dr, Terre Haute, IN 47802-3720 | 2006-06-06 |
| 1003854183 | Dayton Vamc | Clinic/Center | 1010 N J St, Richmond, IN 47374-1911 | 2006-06-02 |
| 1649217027 | Marion Vamc | Clinic/Center | 3401 N Morrison Rd, Muncie, IN 47304-5568 | 2006-06-02 |
| 1144267071 | Louisville Vamc | Clinic/Center | 811 Northgate Blvd, New Albany, IN 47150-6419 | 2006-05-31 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46254 |
Please comment or provide details below to improve the information on INDIANAPOLIS 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.