CHARLESTON VAMC (NPI# 1255729398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255729398 |
| Entity Type | Organization |
| Organization Name | CHARLESTON VAMC |
| Other Organization Name | NORTH CHARLESTON 1 VA CLINIC |
| Practice Address |
9229 University Blvd North Charleston SC 29406-9150 |
| Mailing Address |
Po Box 89425 Cleveland OH 44101-6425 |
| Practice Telephone | 8282572333 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2014-12-23 |
| 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 |
|---|---|
| NORTH CHARLESTON 1 VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083099444 | Charleston Vamc | Clinic/Center | 2424 City Hall Lane, North Charleston, SC 29406-9998 | 2015-07-28 |
| 1851339451 | Charleston Vamc | Clinic/Center | 1170 Shawnee Street, Savannah, GA 31419-1618 | 2006-06-03 |
| 1164810297 | Charleston Vamc | Clinic/Center | 1101 Johnson Ave, Suite R-2a, Myrtle Beach, SC 29577-1893 | 2014-12-23 |
| 1437566528 | Charleston Vamc | Clinic/Center | 9237 University Blvd, North Charleston, SC 29406-9189 | 2014-07-21 |
| 1427344308 | Charleston Vamc | Clinic/Center | 500 E Oglethorpe Hwy, Hinesville, GA 31313-2804 | 2011-06-20 |
| 1235286741 | Charleston Vamc | Clinic/Center | 2418 Nnptc Circle, Goose Creek, SC 29445-9998 | 2007-01-05 |
| 1649286972 | Charleston Vamc | General Acute Care Hospital | 109 Bee Street, Charleston, SC 29401 | 2006-07-31 |
| 1821036286 | Charleston Vamc | Clinic/Center | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1533 | 2006-06-04 |
| 1194776807 | Charleston Vamc | Clinic/Center | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2006-05-15 |
| 1659320620 | Charleston Vamc | General Acute Care Hospital | 109 Bee St, Charleston, SC 29401-5703 | 2006-05-08 |
| Street Address |
9229 UNIVERSITY BLVD |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29406-9150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700852423 | Robert A Marwick | Otolaryngology | 9229 University Blvd, Suite E, North Charleston, SC 29406-9150 | 2006-02-23 |
| 1447762240 | Audra Wagaman | Psychologist | 9229 University Blvd, Bldg F, Suite 2a, North Charleston, SC 29406 | 2017-11-02 |
| 1316495542 | Kristina Reich | Registered Nurse | 9229 University Blvd, North Charleston, SC 29406 | 2016-09-16 |
| 1326286071 | Katherine Walter | Social Worker | 9229 University Blvd, Suite 2a, North Charleston, SC 29406-9150 | 2009-02-02 |
| 1639391980 | Tricounty Ent Associates, Pa | Otolaryngology | 9229 University Blvd, Suite E, North Charleston, SC 29406-9150 | 2007-05-03 |
| 1720108665 | Norma Lynn Higgins | Social Worker | 9229 University Blvd, Suite 2b, North Charleston, SC 29406-9150 | 2007-03-31 |
| 1437199627 | Patricia Ann Pomeroy | Social Worker | 9229 University Blvd, Suite 2b, North Charleston, SC 29406-9150 | 2006-06-07 |
| 1730133091 | Peter William Naylor | Psychiatry & Neurology | 9229 University Blvd, North Charleston, SC 29406-9150 | 2006-05-20 |
| 1932159811 | Perry E Trouche | Psychiatry & Neurology | 9229 University Blvd, Ste 2-b, North Charleston, SC 29406-9150 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083099444 | Charleston Vamc | Clinic/Center | 2424 City Hall Lane, North Charleston, SC 29406-9998 | 2015-07-28 |
| 1437566528 | Charleston Vamc | Clinic/Center | 9237 University Blvd, North Charleston, SC 29406-9189 | 2014-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306014113 | Augusta Vamc | Clinic/Center | 950 Millbrook Ave, Aiken, SC 29803-0602 | 2008-02-14 |
| 1972542983 | Columbia Vamc | Clinic/Center | 407 N Salem Ave, Sumter, SC 29150-4115 | 2006-06-05 |
| 1588617815 | Columbia Vamc | Clinic/Center | 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 | 2006-05-18 |
| 1215988480 | Columbia Vamc | Clinic/Center | 1702 E Greenville St, Anderson, SC 29621-2009 | 2006-05-13 |
| 1053786228 | Columbia Vamc | Clinic/Center | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2015-12-14 |
| 1164810297 | Charleston Vamc | Clinic/Center | 1101 Johnson Ave, Suite R-2a, Myrtle Beach, SC 29577-1893 | 2014-12-23 |
| 1861643181 | Columbia Vamc | Clinic/Center | 279 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2008-10-06 |
| 1235286741 | Charleston Vamc | Clinic/Center | 2418 Nnptc Circle, Goose Creek, SC 29445-9998 | 2007-01-05 |
| 1174614531 | Dept of Veterans Affairs | Clinic/Center | 3510 Augusta Rd, Greenville, SC 29605-1302 | 2006-09-28 |
| 1104865211 | Columbia Vamc | Clinic/Center | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2006-06-05 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
Please comment or provide details below to improve the information on CHARLESTON 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.