MINNEAPOLIS VA MEDICAL CENTER (NPI# 1386768174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386768174 |
| Entity Type | Organization |
| Organization Name | MINNEAPOLIS VA MEDICAL CENTER |
| Practice Address |
1 Veterans Dr Minneapolis MN 55417-2309 |
| Mailing Address |
959 Falcon Dr River Falls WI 54022-2670 |
| Practice Telephone | 6127252000 |
| Mailing Telephone | 7154260338 |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHERYL LEE GILBERT (REGISTERED NURSE) |
| Authorized Official Telephone | 6127252000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 281P00000X | Chronic Disease Hospital | R177558-3 | MN | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548684731 | Minneapolis Va Medical Center | Clinic/Center | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2014-02-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MINNEAPOLIS VA MEDICAL CENTER | 1 Veterans Dr, Minneapolis, MN 55417-2309 |
| Street Address |
1 VETERANS DR |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55417-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023012762 | Peter T. Mitchell | Nurse Practitioner | 1 Veterans Dr, 111h, Minneapolis, MN 55417-2309 | 2005-06-10 |
| 1114527926 | Phuong Duy Le | Pharmacist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-30 |
| 1437759453 | Rebecca Fritze | Social Worker | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-28 |
| 1225637713 | Jedidiah Cates | Recreation Therapist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-26 |
| 1457950719 | Alisha Beckett | Physical Therapist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-19 |
| 1982203303 | Madeline Wollersheim | Speech-Language Pathologist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-19 |
| 1285232611 | Hannah Schmidt | Registered Nurse | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-10-16 |
| 1134736861 | Samuel William Schieffer | Pharmacist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-09-27 |
| 1306452727 | Kate Finn | Psychologist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-09-21 |
| 1447865068 | Amanda Mueller | Pharmacist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2020-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1174160832 | Susan Jacobson | Pharmacist | One Veterans Drive (119), Minneapolis, MN 55417 | 2019-12-02 |
| 1699240580 | Angela Cox | Social Worker | Vamc Minneapolis, 1 Veterans Drive (1k), Minneapolis, MN 55417 | 2018-10-08 |
| 1407353519 | Kirsten Kathleen Rydberg | Registered Nurse | One Veteran Drive, Minneapolis, MN 55417 | 2018-04-06 |
| 1902306038 | Ksa Psychological Services, LLC | Psychologist | 5603 Chicago Ave., Minneapolis, MN 55417 | 2018-02-15 |
| 1770025710 | Elizabeth Kate Adam | Registered Nurse | 613 E Minnehaha Pkwy, Minneapolis, MN 55417 | 2016-11-08 |
| 1831579754 | John Rossakis | Occupational Therapist | 5708 42nd Ave S, Minneapolis, MN 55417 | 2015-06-05 |
| 1205214566 | Karin Shelstad | Specialist/Technologist | 5501 10th Av S, Minneapolis, MN 55417 | 2015-05-07 |
| 1750712733 | Debra Sand | Massage Therapist | 2750 E 50th Street, Minneapolis, MN 55417 | 2013-12-02 |
| 1669764221 | Michael Alan Newman | Internal Medicine | One Veterans Drive (111-0), Minneapolis Veterans Affairs Medical Center, Minneapolis, MN 55417 | 2011-05-13 |
| Find all providers in zip 55417 | ||||
| Taxonomy Code | 281P00000X |
| Grouping | Hospitals |
| Classification | Chronic Disease Hospital |
| (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. |
| Notes: Source: (1) Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326403833 | Wisdom Transportation | Chronic Disease Hospital | 11100 Anderson Lakes Pkwy, Apt 315, Eden Prairie, MN 55344-7411 | 2015-12-28 |
| City | MINNEAPOLIS |
| Zip Code | 55417 |
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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.