SALT LAKE CITY VAMC (NPI# 1184664559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184664559 |
| Entity Type | Organization |
| Organization Name | SALT LAKE CITY VAMC |
| Other Organization Name | ST. GEORGE VA CLINIC |
| Practice Address |
230 N 1680 E Building N St George UT 84790-2579 |
| Mailing Address |
Po Box 94463 Cleveland OH 44101-4463 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2018-01-17 |
| 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 |
|---|---|
| St. George VA Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659980316 | Salt Lake City Vamc | Clinic/Center | 2380 N 400 E Ste G, North Logan, UT 84341-1769 | 2020-07-29 |
| 1124419551 | Salt Lake City Vamc | Clinic/Center | 189 S 600 W, Suite B, Price, UT 84501-2833 | 2015-02-06 |
| 1295126621 | Salt Lake City Vamc | Clinic/Center | 2719 Argent Avenue, Suite 9, Elko, NV 89801-8443 | 2015-02-06 |
| 1124062898 | Salt Lake City Vamc | Clinic/Center | 245 W 200 N, Roosevelt, UT 84066-2740 | 2006-06-15 |
| 1093753675 | Salt Lake City Vamc | Clinic/Center | 774 S State St, Orem, UT 84058-6308 | 2006-06-03 |
| 1356812655 | Salt Lake City Vamc | Clinic/Center | 5957 Fashion Point Dr, South Ogden, UT 84403-5180 | 2018-12-12 |
| 1497146823 | Salt Lake City Vamc | Clinic/Center | 640 S Woodruff Ave, Idaho Falls, ID 83401-5299 | 2015-02-06 |
| 1619113115 | Salt Lake City Vamc | Clinic/Center | 2750 S 5600 W, West Valley City, UT 84120-1249 | 2009-01-05 |
| 1407894868 | Salt Lake City Vamc | Clinic/Center | 982 Chambers St, South Ogden, UT 84403-4571 | 2006-06-04 |
| 1487691002 | Salt Lake City Vamc | Clinic/Center | 500 S 11th Ave, Pocatello, ID 83201-4835 | 2006-06-01 |
| Street Address |
230 N 1680 E BUILDING N |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-2579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467066720 | Chantelle Stapley | Behavioral Analyst | 230 N 1680 E, St George, UT 84790-2579 | 2020-09-03 |
| 1750921672 | Valerie Owens | Behavioral Analyst | 230 N 1680 E, St George, UT 84790-2579 | 2020-01-08 |
| 1699315507 | Shanel Stevens | Behavioral Analyst | 230 N 1680 E, St George, UT 84790-2579 | 2020-01-08 |
| 1952956294 | Kauri Smith | Behavioral Analyst | 230 N 1680 E, St George, UT 84790-2579 | 2019-08-05 |
| 1053965913 | Erin Waite | Behavioral Analyst | 230 N 1680 E, St George, UT 84790-2579 | 2019-07-30 |
| 1578117230 | Janis Guzman | Behavioral Analyst | 230 N 1680 E, St George, UT 84790-2579 | 2019-07-30 |
| 1942854708 | Makayli Edwards | Behavioral Analyst | 230 N 1680 E, St George, UT 84790-2579 | 2019-07-30 |
| 1740846682 | Braden Syphus | Audiologist | 230 N 1680 E, St George, UT 84790-2579 | 2019-05-16 |
| 1720500473 | Nicole Layton Hardy | Behavior Technician | 230 N 1680 E, North Bldg. A, St George, UT 84790 | 2017-07-14 |
| 1497288898 | Ryanne Webster | Behavior Technician | 230 N 1680 E, Building A, St George, UT 84790-2579 | 2017-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659980316 | Salt Lake City Vamc | Clinic/Center | 2380 N 400 E Ste G, North Logan, UT 84341-1769 | 2020-07-29 |
| 1124419551 | Salt Lake City Vamc | Clinic/Center | 189 S 600 W, Suite B, Price, UT 84501-2833 | 2015-02-06 |
| 1124062898 | Salt Lake City Vamc | Clinic/Center | 245 W 200 N, Roosevelt, UT 84066-2740 | 2006-06-15 |
| 1093753675 | Salt Lake City Vamc | Clinic/Center | 774 S State St, Orem, UT 84058-6308 | 2006-06-03 |
| 1356812655 | Salt Lake City Vamc | Clinic/Center | 5957 Fashion Point Dr, South Ogden, UT 84403-5180 | 2018-12-12 |
| 1538550959 | Grand Junction Vamc | Clinic/Center | 702 S Main St, Suite 5b, Moab, UT 84532-2943 | 2015-02-06 |
| 1619113115 | Salt Lake City Vamc | Clinic/Center | 2750 S 5600 W, West Valley City, UT 84120-1249 | 2009-01-05 |
| 1407894868 | Salt Lake City Vamc | Clinic/Center | 982 Chambers St, South Ogden, UT 84403-4571 | 2006-06-04 |
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| 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.