LEBANON VAMC (NPI# 1265489165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Lancaster VA Clinic | Other Name - Individual/Organization |
WILLOW STREET VA CLINIC | Other Name - Individual/Organization |
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 |
Street Address |
212 WILLOW VALLEY LAKES DR STE 208 |
City | WILLOW STREET |
State | PA |
Zip Code | 17584-9668 |
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 |
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 Code | 261QV0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | VA |
Definition to come... |
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 |
City | WILLOW STREET |
Zip Code | 17584 |
Please comment or provide details below to improve the information on LEBANON 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.