LEBANON VAMC


Address: 212 Willow Valley Lakes Dr Ste 208, Willow Street, PA 17584-9668
Phone: 7172776568

LEBANON VAMC (NPI# 1265489165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265489165
Entity Type Organization
Organization Name LEBANON VAMC
Other Organization Name WILLOW STREET VA CLINIC
Practice Address 212 Willow Valley Lakes Dr Ste 208
Willow Street
PA 17584-9668
Mailing Address P.o Box 3001
Lebanon
PA 17042-3001
Practice Telephone 7172776568
Mailing Telephone 7172776568
Enumeration Date 2006-05-27
Last Update Date 2018-12-27
Authorized Official Name ERIN POTTER (NPI TEAM MEMBER)
Authorized Official Telephone 2023822579
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QV0200X Clinic/Center
Specialization: VA
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Lancaster VA Clinic Other Name - Individual/Organization
WILLOW STREET VA CLINIC Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1184012684 Lebanon Vamc Clinic/Center 1 Garrison Rd, Building 4-114 Fort Indiantown Gap, Annville, PA 17003-5061 2015-01-06
1104911379 Lebanon Vamc Military Hospital 1700 Lincoln Ave, Lebanon, PA 17042 2006-10-04
1639117641 Lebanon Vamc Clinic/Center 2762 Century Blvd, Suite 120, Wyomissing, PA 19610-3345 2006-06-02
1346291937 Lebanon Vamc Clinic/Center 5070 Ritter Rd, Mechanicsburg, PA 17055 2006-05-16
1558558163 Lebanon Vamc Clinic/Center 700 Schuylkill Manor Rd, 2nd Fl Suite 6, Pottsville, PA 17901-3849 2007-09-27
1518901750 Lebanon Vamc Clinic/Center 2251 Eastern Blvd, York, PA 17402-2867 2006-06-16
1124077672 Lebanon Vamc Rehabilitation Unit 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2006-05-10
1578521365 Lebanon Vamc Department of Veterans Affairs (VA) Pharmacy 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2006-05-02

Office Location

Street Address 212 WILLOW VALLEY LAKES DR STE 208
City WILLOW STREET
State PA
Zip Code 17584-9668

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851959399 Anita Cheryl Carter Licensed Practical Nurse 212 Willow Valley Lakes Dr Ste 208, Willow Street, PA 17584-9668 2019-05-30
1164086054 Patricia Grubb Licensed Practical Nurse 212 Willow Valley Lakes Dr Ste 208, Willow Street, PA 17584-9668 2019-04-25
1871052829 Betty Jean Nixdorf Licensed Practical Nurse 212 Willow Valley Lakes Dr Ste 208, Willow Street, PA 17584-9668 2019-03-19
1841758554 Patricia Mitchell Licensed Practical Nurse 212 Willow Valley Lakes Dr Ste 208, Willow Street, PA 17584-9668 2019-03-12
1174081954 Barabra Breanne Spradlin Registered Nurse 212 Willow Valley Lakes Dr Ste 208, Willow Street, PA 17584-9668 2019-03-11
1710445051 Katelyn De La Fuente Registered Nurse 212 Willow Valley Lakes Dr Ste 208, Willow Street, PA 17584-9668 2019-03-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396397873 Bethany M Noll Audiologist-Hearing Aid Fitter 226 Willow Valley Lakes Drive, Suite D, Willow Street, PA 17584 2019-07-15
1720546070 Michelle Beachy Licensed Practical Nurse 212 Willow Lakes Drive, Suite 208, Willow Street, PA 17584 2019-03-06
1295293603 Mary Florida Registered Nurse Department of Veteran Affiars, 212 Willow Valley Lakes Drive, Willow Street, PA 17584 2019-03-05
1275069494 Victoria Vanburen Counselor 2819 Willow Street Pike, Willow Street, PA 17584 2017-05-08
1528505245 Beverly Gooden Pharmacist 2600 Willow St. Pike, Willow St., PA 17584 2017-01-20
1902357544 White Family Dental - Willow Street Dentist 212 Willow Valley Drive, Suite 209, Willow Street, PA 17584 2016-10-19
1134482144 Alexis H Le Pharmacist 2600 N Willow Street Pike, Kmart Pharmacy #3810, Willow Street, PA 17584 2012-06-25
1992020309 Elizabeth A Trozzo Pharmacist 2600 Willow Street Pike, Willow Street, PA 17584 2010-03-30
1295987642 Nu Smile Family Dentistry Dentist 2600 Willowstreet Pike, Ste# 310, Willo W Street, PA 17584 2008-10-16
1629255948 T W Ponessa and Associates Counseling Services Inc Community/Behavioral Health 730 Hans Herr Drive, Willow Street, PA 17584 2008-01-29
Find all providers in zip 17584

Taxonomy Information

Taxonomy Code 261QV0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization VA

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407316219 Philadelphia Va Medical Center Clinic/Center 6232 Market St Ste 100, Philadelphia, PA 19139-2922 2019-03-20
1184012684 Lebanon Vamc Clinic/Center 1 Garrison Rd, Building 4-114 Fort Indiantown Gap, Annville, PA 17003-5061 2015-01-06
1134517360 Philadelphia Vamc Clinic/Center 4219 Chestnut St, Philadelphia, PA 19104-3014 2014-12-22
1659779254 Buffalo Vamc Clinic/Center 24 Maple View Ln, Suite 2, Coudersport, PA 16915-9527 2014-12-12
1851644967 Altoona Vamc Clinic/Center 13903 William Penn Hwy, Mapleton Depot, PA 17052-9649 2012-10-26
1841340015 Warren Cboc Clinic/Center 3 Farm Colony Dr, Warren, PA 16365-5209 2007-01-11
1184771123 Pittsburgh Vamc Clinic/Center 635 Pittsburgh Rd, Suite 520, Uniontown, PA 15401-2215 2007-01-04
1740224971 Wilkes Barre Vamc Clinic/Center Tobyhanna Army Depot, Bldg 220, Tobyhanna, PA 18466-5002 2006-06-16
1659315380 Philadelphia Va Clinic Clinic/Center 214 North 4th St., 2nd Floor, Philadelphia, PA 19106 2006-06-15
1376585588 Butler Vamc Clinic/Center 11 Hilltop Plz, Kittanning, PA 16201-8905 2006-06-12
Find all providers with the same taxonomy

Competitor

Search similar providers

City WILLOW STREET
Zip Code 17584

Improve Information

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Dataset Information

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.

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