MEMPHIS VAMC


Address: 1067 Vendall Rd, Dyersburg, TN 38024-1622
Phone: 6153553451

MEMPHIS VAMC (NPI# 1356572010) 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) 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

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
DYERSBURG VA CBOC Other Name - Individual/Organization
DYERSBURG VA CLINIC Other Name - Individual/Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities MEMPHIS VAMC 1030 Jefferson Ave, Memphis, TN 38104-2127

Office Location

Street Address 1067 VENDALL RD
City DYERSBURG
State TN
Zip Code 38024-1622

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154491520 Digestive Associates, P.C. Internal Medicine 1067 Vendall Rd, Dyersburg, TN 38024-1622 2006-11-09

Providers in the same zip code

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 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
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

Competitor

Search similar providers

City DYERSBURG
Zip Code 38024

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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