PRESCOTT VAMC (NPI# 1356739650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356739650 |
| Entity Type | Organization |
| Organization Name | PRESCOTT VAMC |
| Other Organization Name | PAGE VA OOS |
| Practice Address |
801 North Navajo Drive Suite B Page AZ 86040-9998 |
| Mailing Address |
Po Box 94411 Cleveland OH 44101-4411 |
| Practice Telephone | 7023413152 |
| Mailing Telephone | 7023413152 |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2017-11-01 |
| 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 |
|---|---|
| PAGE VA OOS | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558759837 | Prescott Vamc | Clinic/Center | 33 West Vista Drive, Holbrook, AZ 86025-1844 | 2015-01-08 |
| 1952345076 | Prescott Vamc | Clinic/Center | 1300 W University Ave, #200, Flagstaff, AZ 86001-7214 | 2006-06-16 |
| 1770539561 | Prescott Vamc | Clinic/Center | 2668 Hualapai Mountain Rd, Kingman, AZ 86401-8387 | 2006-05-25 |
| 1477505493 | Prescott Vamc | Clinic/Center | 501 S Willard St, Cottonwood, AZ 86326-8120 | 2006-05-17 |
| 1477504975 | Prescott Vamc | Clinic/Center | 41810 N Venture Dr Bldg B, Anthem, AZ 85086-3169 | 2006-05-12 |
| 1275583684 | Prescott Vamc | General Acute Care Hospital | 500 N Highway 89, Prescott, AZ 86313-5001 | 2006-05-10 |
| 1801854328 | Prescott Vamc | Department of Veterans Affairs (VA) Pharmacy | 500 N Hwy 89, Prescott, AZ 86313-5001 | 2006-05-03 |
| 1669857975 | Prescott Vamc | Clinic/Center | Highway 264, Mile Post 388, Polacca, AZ 86042-9998 | 2015-07-28 |
| 1184009490 | Prescott Vamc | Clinic/Center | Us Highway 160, Kayenta, AZ 86033-9998 | 2015-07-28 |
| 1891183182 | Prescott Vamc | Clinic/Center | Highway 191 and Hospital Drive, Chinle, AZ 86503-9998 | 2015-01-08 |
| Street Address |
801 NORTH NAVAJO DRIVE SUITE B |
| City | PAGE |
| State | AZ |
| Zip Code | 86040-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881251437 | Amy Jean Snell | Nurse Practitioner | 501 N. Navajo Dr., Page, AZ 86040 | 2019-05-20 |
| 1740748441 | Cameron Sidney Shick | Pharmacist | 501 N Navajo Drive, Page, AZ 86040 | 2019-03-12 |
| 1891250338 | Samantha Elizabeth Cannavo | Specialist/Technologist | 1801 N Navajo Dr., Page, AZ 86040 | 2019-02-08 |
| 1023593282 | Sally Ann Breen | Nurse Practitioner | 440 N Navajo Drive, Page, AZ 86040 | 2018-10-03 |
| 1114447653 | Naquita Ahern | Physical Therapist | 501 N Navajo Rd, Page, AZ 86040 | 2017-06-26 |
| 1396270443 | Peter Richard Jones | Physical Therapy Assistant | 43 Sixth Ave, Page, AZ 86040 | 2017-04-26 |
| 1407392590 | Lake Powell Dental Center, PC | Dentist | 436 Vista Avenue, Box 1956, Page, AZ 86040 | 2017-01-12 |
| 1992257695 | Theodore Martin | Physical Therapist | 39 6th Avenue, Page, AZ 86040 | 2016-10-28 |
| 1750833539 | Jacqueline Joyce Muthanga Kigundu | Nurse Practitioner | 440 North Navajo Dr, Page, AZ 86040 | 2016-10-27 |
| 1821540899 | George Wertz | Physical Therapist | 39 6th Ave, Page, AZ 86040 | 2016-10-26 |
| Find all providers in zip 86040 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013457704 | Tucson Vamc | Clinic/Center | 1179 E Cottonwood Lane, Suite 1, Casa Grande, AZ 85122-2969 | 2017-03-01 |
| 1104366897 | Tucson Vamc | Clinic/Center | 157 North Coronado Drive, Suite B, Sierra Vista, AZ 85635-6361 | 2017-03-01 |
| 1619352077 | Phoenix Vamc | Clinic/Center | 1500 East Thomas Road, Suite 106, Phoenix, AZ 85014-5748 | 2015-07-28 |
| 1558759837 | Prescott Vamc | Clinic/Center | 33 West Vista Drive, Holbrook, AZ 86025-1844 | 2015-01-08 |
| 1265785364 | Phoenix Vamc | Clinic/Center | 11390 East Via Linda Road, Suite 105, Scottsdale, AZ 85259-4075 | 2012-10-26 |
| 1033345624 | Phoenix Vamc | Clinic/Center | 9424 N 25th Ave, Phoenix, AZ 85021-2714 | 2009-06-09 |
| 1811176530 | Cthvamc | Clinic/Center | 239 W Utopia Rd, Phoenix, AZ 85027-4738 | 2007-10-30 |
| 1952345076 | Prescott Vamc | Clinic/Center | 1300 W University Ave, #200, Flagstaff, AZ 86001-7214 | 2006-06-16 |
| 1235173931 | Tucson Vamc | Clinic/Center | 101 N Coronado Dr Ste A, Building 45006, Sierra Vista, AZ 85635-6359 | 2006-06-15 |
| 1649219528 | Tucson Vamc | Clinic/Center | 3111 S 4th Ave, Yuma, AZ 85364-8122 | 2006-06-06 |
| 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.