ALTOONA VAMC (NPI# 1366495848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366495848 |
| Entity Type | Organization |
| Organization Name | ALTOONA VAMC |
| Other Organization Name | DUBOIS CLEARFIELD VA CBOC |
| Practice Address |
5690 Shaffer Rd Du Bois PA 15801-3870 |
| Mailing Address |
Po Box 3004 Lebanon PA 17042-3004 |
| Practice Telephone | 7172776565 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2017-02-16 |
| 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 |
|---|---|
| DuBois Clearfield VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851644967 | Altoona Vamc | Clinic/Center | 13903 William Penn Hwy, Mapleton Depot, PA 17052-9649 | 2012-10-26 |
| 1134168032 | Altoona Vamc | Clinic/Center | 2581 Clyde Avenue, State College, PA 16801-9998 | 2006-06-06 |
| 1831145481 | Altoona Vamc | Clinic/Center | 598 Galleria Drive, Johnstown, PA 15904-9998 | 2006-05-25 |
| 1699029025 | Altoona Vamc | Clinic/Center | 1570 Oakland Ave, Suite 100, Indiana, PA 15701-2429 | 2012-11-07 |
| 1316996887 | Altoona Vamc | Skilled Nursing Facility | 2907 Pleasant Valley Blvd, Altoona, PA 16602-4305 | 2006-05-10 |
| 1558329599 | Altoona Vamc | Department of Veterans Affairs (VA) Pharmacy | 2907 Pleasant Valley Blvd, Altoona, PA 16602-4305 | 2006-05-01 |
| Street Address |
5690 SHAFFER RD |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-3870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275977431 | Eric Nils Lundblom | Social Worker | 5690 Shaffer Rd, Du Bois, PA 15801-3870 | 2013-04-18 |
| 1447267752 | Kristen Williams | Nurse Practitioner | 5690 Shaffer Rd, Du Bois, PA 15801 | 2006-08-01 |
| 1700819257 | William Scott Depp-hutchinson | Family Medicine | 5690 Shaffer Rd, Du Bois, PA 15801-3870 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| 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 | ||||
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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.