MEMPHIS VAMC (NPI# 1356572010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356572010 |
Entity Type | Organization |
Organization Name | MEMPHIS VAMC |
Other Organization Name | DYERSBURG VA CLINIC |
Practice Address |
1067 Vendall Rd Dyersburg TN 38024-1622 |
Mailing Address |
Po Box 94511 Cleveland OH 44101 |
Practice Telephone | 6153553451 |
Mailing Telephone | 6153553451 |
Enumeration Date | 2009-07-29 |
Last Update Date | 2019-06-07 |
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 |
---|---|
DYERSBURG VA CBOC | Other Name - Individual/Organization |
DYERSBURG VA CLINIC | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649401316 | Memphis Vamc | Clinic/Center | 125 Quarles Ln, West Helena, AR 72390-1923 | 2009-07-29 |
1205072436 | Memphis Vamc | Clinic/Center | 180 Old Hickory Blvd, Suite A, Jackson, TN 38305-2562 | 2008-12-17 |
1073552436 | Memphis Vamc | Clinic/Center | 1114 Commonwealth Blvd., Tupelo, MS 38804-9998 | 2006-06-04 |
1619923398 | Memphis Vamc | Clinic/Center | 2908 S Caraway Rd Ste B, Jonesboro, AR 72401-7306 | 2006-05-25 |
1669427050 | Memphis Vamc | Clinic/Center | 70 Harbert Dr, Savannah, TN 38372-2333 | 2006-05-23 |
1194778357 | Memphis Vamc | Clinic/Center | 1700 Crescent Meadows, Holly Springs, MS 38635-7414 | 2006-05-18 |
1154374726 | Memphis Vamc | Clinic/Center | 3461 Austin Peay Hwy, Memphis, TN 38128-3801 | 2006-05-17 |
1326436452 | Memphis Vamc | Clinic/Center | 1407 Union Ave, 11th Floor, Memphis, TN 38104-3627 | 2014-12-23 |
1659667996 | Memphis Vamc | Military Hospital | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2011-06-24 |
1134370885 | Memphis Vamc | Clinic/Center | 154 Mt. Pleasant Road, Mount Pleasant, MS 38635-9332 | 2008-09-30 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MEMPHIS VAMC | 1030 Jefferson Ave, Memphis, TN 38104-2127 |
Street Address |
1067 VENDALL RD |
City | DYERSBURG |
State | TN |
Zip Code | 38024-1622 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154491520 | Digestive Associates, P.C. | Internal Medicine | 1067 Vendall Rd, Dyersburg, TN 38024-1622 | 2006-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235760273 | Alison Clement | Nurse Practitioner | 750 W Highway 51 Bypass, Dyersburg, TN 38024 | 2020-01-29 |
1861030652 | Pagela Jobe | Nurse Practitioner | 750 West Highway 51 Bypass, Dyersburg, TN 38024 | 2019-12-12 |
1083184055 | Whitney Young | Nurse Practitioner | 455 East Parkview, Dyersburg, TN 38024 | 2018-12-03 |
1518434067 | Myeyedr Optometry of Tennessee, LLC | Optometrist | 400 Us Hwy 51 S, Dyersburg, TN 38024 | 2018-11-01 |
1225529142 | Kidney Experts Pllc | Internal Medicine | 1575 Parr Ave # B, Dyersburg, TN 38024 | 2018-05-25 |
1407344690 | Darnisha Williams | Pharmacist | 2650 Lake Road, Dyersburg, TN 38024 | 2018-04-24 |
1376081547 | Chasidy Branch | Counselor | 640 U.S. Highway 51 Bypass E. Suite M, Dyersburg, TN 38024 | 2017-02-07 |
1548671845 | Shree Ramakant Mulay | Internal Medicine | 1575 Parr Ave Ste B, Dyersburg, TN 38024 | 2014-05-08 |
1588904965 | Selina Carol Purvis | Physical Therapy Assistant | 1900 Parr Avenue, Dyersburg, TN 38024 | 2013-02-22 |
1326396029 | Tennessee Sleep Managment LLC | Clinic/Center | 1190 Hwy 51 By-pass West, Suite C, Dyersburg, TN 38024 | 2012-08-28 |
Find all providers in zip 38024 |
Taxonomy Code | 261QV0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | VA |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922544394 | Mountain Home Vamc | Clinic/Center | 1521 Downtown West Blvd, Knoxville, TN 37919-5407 | 2017-01-10 |
1073060133 | Nashville Vamc | Clinic/Center | 2 International Plaza Drive, Suite 300, Nashville, TN 37217-2011 | 2016-09-07 |
1962958256 | Nashville Vamc | Clinic/Center | 1208 Pointe Centre Drive, Chattanooga, TN 37421-3989 | 2016-08-28 |
1750779898 | Nashville Vamc | Clinic/Center | 1919 Charlotte Avenue, Suite 100, Nashville, TN 37203-2219 | 2014-12-23 |
1316267743 | Nashville Vamc | Clinic/Center | 2305 N Gateway Ave, Suite 2, Harriman, TN 37748-8665 | 2010-06-08 |
1205072436 | Memphis Vamc | Clinic/Center | 180 Old Hickory Blvd, Suite A, Jackson, TN 38305-2562 | 2008-12-17 |
1639342231 | Mountain Home Vamc | Clinic/Center | 925 E Morris Blvd, Morristown, TN 37813-2499 | 2008-04-04 |
1326082546 | Nashville Vamc | Clinic/Center | 225 Von Karman Road, Arnold Air Force Base, TN 37389-9998 | 2006-06-16 |
1700824646 | Mountain Home Vamc | Clinic/Center | 401 Scenic Dr, Rogersville, TN 37857-2452 | 2006-06-03 |
1669427050 | Memphis Vamc | Clinic/Center | 70 Harbert Dr, Savannah, TN 38372-2333 | 2006-05-23 |
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.