DENVER VAMC (NPI# 1205874526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205874526 |
| Entity Type | Organization |
| Organization Name | DENVER VAMC |
| Other Organization Name | PUEBLO VA CLINIC |
| Practice Address |
4776 Eagleridge Cir Pueblo CO 81008-2189 |
| Mailing Address |
Po Box 94455 Cleveland OH 44101-4455 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2017-12-12 |
| 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 |
|---|---|
| Pueblo VA Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376903740 | Denver Vamc | Psychiatric Residential Treatment Facility | 7350 W Eastman Pl, Lakewood, CO 80227-5006 | 2016-02-29 |
| 1104217520 | Denver Vamc | Clinic/Center | 3836 York Street, Denver, CO 80205-9998 | 2015-02-06 |
| 1992752877 | Denver Vamc | Clinic/Center | 1020 Johnson Road, Golden, CO 80401-6002 | 2006-05-27 |
| 1578515631 | Denver Vamc | Clinic/Center | 3141 Centennial Blvd., Colorado Springs, CO 80907-9998 | 2006-05-17 |
| 1003866872 | Denver Vamc | Clinic/Center | 622 Del Sol Dr, Alamosa, CO 81101-8548 | 2006-05-11 |
| 1053369520 | Denver Vamc | Department of Veterans Affairs (VA) Pharmacy | 1700 N Wheeling Street, Aurora, CO 80045-7211 | 2006-05-05 |
| 1982201919 | Denver Vamc | Clinic/Center | 3920 N Union Blvd Ste 200, Colorado Springs, CO 80907-4921 | 2020-10-02 |
| 1497307516 | Denver Vamc | Clinic/Center | 4545 E 9th Ave Ste 10, Denver, CO 80220-3907 | 2019-07-09 |
| 1891284964 | Denver Vamc | Psychiatric Residential Treatment Facility | 1055 Clermont St, Denver, CO 80220 | 2018-05-04 |
| 1750741211 | Denver Vamc | Skilled Nursing Facility | 2600 Oakshire Ln, Pueblo, CO 81001-5671 | 2016-02-26 |
| Street Address |
4776 EAGLERIDGE CIR |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-2189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861464224 | Mary Helen Hobbs | Social Worker | 4776 Eagleridge Cir, Pueblo, CO 81008-2189 | 2006-02-01 |
| 1275144578 | Rebecca Shannon Welles | Audiologist | 4776 Eagleridge Cir, Pueblo, CO 81008-2189 | 2020-08-11 |
| 1700448966 | Jessica Blaettler | Audiologist | 4776 Eagleridge Cir, Pueblo, CO 81008-2189 | 2019-07-08 |
| 1063978682 | Justin M Gay | Social Worker | 4776 Eagleridge Cir, Pueblo, CO 81008-2189 | 2019-02-19 |
| 1902376312 | Latasha Deanne Myrieckes | Nurse Practitioner | 4776 Eagleridge Cir, Pueblo, CO 81008-2189 | 2018-11-28 |
| 1699285197 | Debra Jean Lawrence | Social Worker | 4776 Eagleridge Cir, Pueblo, CO 81008-2189 | 2017-10-10 |
| 1558887075 | Leticia Nunez | Audiologist | 4776 Eagleridge Cir, Pueblo, CO 81008-2189 | 2017-08-16 |
| 1386191757 | Lisa Marie Miles | Counselor | 4776 Eagleridge Cir, Pueblo, CO 81008-2189 | 2016-09-02 |
| 1578016168 | Kimberly Priest | Dietitian, Registered | 4776 Eagleridge Cir, Pueblo, CO 81008-2189 | 2016-07-29 |
| 1881003473 | Frank Keller | Pharmacist | 4776 Eagleridge Cir, Pueblo, CO 81008-2189 | 2014-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417191586 | Department of Veterans Affairs | Clinic/Center | 4112 Outlook Blvd, Pueblo, CO 81008-1667 | 2009-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003431537 | Grand Junction Vamc | Clinic/Center | 482 28 Rd, Grand Junction, CO 81501-7936 | 2020-06-10 |
| 1063990737 | Cheyenne Vamc | Clinic/Center | 100 College Ave, Sterling, CO 80751-2345 | 2018-08-03 |
| 1104217520 | Denver Vamc | Clinic/Center | 3836 York Street, Denver, CO 80205-9998 | 2015-02-06 |
| 1902297328 | Grand Junction Vamc | Clinic/Center | 2425 South Grand Avenue, Suite 101, Glenwood Springs, CO 81601-4181 | 2015-02-06 |
| 1124464086 | Department of Veterans Affairs | Clinic/Center | 25 N Spruce St Ste 207, Colorado Springs, CO 80905-1450 | 2013-05-20 |
| 1043496169 | Grand Junction Vamc | Clinic/Center | 1111 W Victory Way Ste 116, Craig, CO 81625-2945 | 2008-01-18 |
| 1144268731 | Grand Junction Vamc | Clinic/Center | 154 Colorado Ave., Suite 100, Montrose, CO 81401-3600 | 2006-06-03 |
| 1992752877 | Denver Vamc | Clinic/Center | 1020 Johnson Road, Golden, CO 80401-6002 | 2006-05-27 |
| 1528013083 | Cheyenne Vamc | Clinic/Center | 2509 Research Blvd, Fort Collins, CO 80526-8108 | 2006-05-23 |
| 1073566527 | Albuquerque Vamc | Clinic/Center | 1970 E 3rd Ave, Ste 102, Durango, CO 81301-5056 | 2006-05-18 |
| Find all providers with the same taxonomy | ||||
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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.