WALMART (NPI# 1396195608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396195608 |
| Entity Type | Organization |
| Organization Name | WALMART |
| Practice Address |
1920 S Stephenson Ave Iron Mountain MI 49801-3641 |
| Practice Telephone | 9067797187 |
| Practice Fax Number | 9067793718 |
| Mailing Telephone | 9067797187 |
| Mailing Fax Number | 9067793718 |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |
| Authorized Official Name | LEIGH ANN DIGHERA (PHARMACIST) |
| Authorized Official Telephone | 9067794236 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | Y |
| Parent Organization Name | WALMART PHARMACY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 5302033572 | MI | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437606167 | Walmart | Pharmacist | 1130 Pitcher Canyon Rd, Wenatchee, WA 98801-9446 | 2016-09-11 |
| 1154782845 | Walmart | Pharmacy | 1120 N. Opal Dr., Prescott, AZ 86303 | 2016-03-09 |
| 1114390812 | Walmart | Community/Behavioral Health | 1094 Highway 3, Uniontown, KS 66779-8057 | 2015-11-04 |
| 1972923738 | Walmart | Pharmacy | 125 Maryport Drive, Myrtle Beach, SC 29575 | 2014-04-21 |
| 1083964043 | Walmart | Eyewear Supplier (Equipment, not the service) | Carr Pr 2 Interseccion Pr 165, Bo Media Luna, Toa Baja, PR 00949 | 2012-09-17 |
| 1427314129 | Walmart | Eyewear Supplier (Equipment, not the service) | 1145 Carr #2, Barceloneta, PR 00936 | 2012-04-06 |
| 1861975807 | Walmart | Pharmacy | 1636 Sandifer Blvd, Seneca, SC 29678-0906 | 2018-09-14 |
| 1578004438 | Walmart | Community/Behavioral Health | 604 N 26th St, Artesia, NM 88210-3723 | 2017-03-12 |
| 1487194965 | Walmart | Pharmacy | 6110 W Kellogg Dr, Pharmacy, Wichita, KS 67209-2361 | 2017-03-02 |
| 1699211300 | Walmart | Pharmacy | 251 Premier Blvd, Roanoke Rapids, NC 27870-5076 | 2017-01-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Liquor Licenses | WALMART #1045 | 745 N Hwy 287, Lafayette, CO 80026 |
| Colorado Liquor Licenses | WALMART #1058 | 16750 South Townsend, Montrose, CO 814015410 |
| Oregon Corporations, Companies and Business Names | WALMART #1772 | 702 Sw 8th St, Bentonville, AR 72716 |
| Oregon Corporations, Companies and Business Names | WALMART #1775 | 702 Sw 8th St, Bentonville, AR 72716 |
| Oregon Corporations, Companies and Business Names | WALMART #1784 | 702 Sw 8th St, Bentonville, AR 72716 |
| Oregon Corporations, Companies and Business Names | WALMART #1793 | 702 Sw 8th St, Bentonville, AR 72716 |
| Oregon Corporations, Companies and Business Names | WALMART #1817 | 702 Sw 8th St, Bentonville, AR 72716 |
| Oregon Corporations, Companies and Business Names | WALMART #1834 | 702 Sw 8th St, Bentonville, AR 72716 |
| Oregon Corporations, Companies and Business Names | WALMART #1843 | 702 Sw 8th St, Bentonville, AR 72716 |
| Oregon Corporations, Companies and Business Names | WALMART #1876 | 702 Sw 8th St, Bentonville, AR 72716 |
| Street Address |
1920 S STEPHENSON AVE |
| City | IRON MOUNTAIN |
| State | MI |
| Zip Code | 49801-3641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780602110 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1920 S Stephenson Ave, Iron Mountain, MI 49801-3641 | 2006-07-17 |
| 1982794400 | Wal-mart Stores East, Lp | Technician/Technologist | 1920 S Stephenson Ave, Iron Mountain, MI 49801-3641 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770008062 | John M Baccino | Dietitian, Registered | 325 E H St # 133, Iron Mountain, MI 49801 | 2017-08-08 |
| 1699148692 | Bd Baker Rentals LLC | Optometrist | 2100 Aragon Street, Iron Mountain, MI 49801 | 2015-11-12 |
| 1083044762 | Integrated First Response-great Lakes | Ambulance | 719 River Avenue, Iron Mountain, MI 49801 | 2013-11-18 |
| 1912340936 | Andrew James Tomlinson | Social Worker | Iron Mountain Va, 325 East H Street, Iron Mountain, MI 49801 | 2013-04-09 |
| 1902196702 | Daniel John Fornetti | Dentist | 100 S. Stephenson Ave., Iron Mountain, MI 49801 | 2011-04-13 |
| 1871815613 | Colleen Ann Sleik | Physical Therapist | Bellin Health Physical Therapy Iron Moutain, 440 Woodward Ave, Iron Mountain, MI 49801 | 2010-02-21 |
| 1679714083 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 | 2009-03-13 |
| 1831349539 | Amanda Jane Petti | Dietitian, Registered | 300 E H Street, Nutrition & Food Service, Iron Mountain, MI 49801 | 2008-09-30 |
| 1891946521 | Riki Rouse | Hearing Instrument Specialist | W8065 S Us Hwy 2/141, Iron Mountain, MI 49801 | 2008-09-30 |
| 1366690612 | Greenlund Enterpries, Inc | Hearing Aid Equipment | W8065 S. Us High 2/141, Suite #13, Iron Mountain, MI 49801 | 2008-08-28 |
| Find all providers in zip 49801 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356518153 | Cherith Counseling Center PC | Community/Behavioral Health | 215 East Hughitt Street, Iron Mountain, MI 49801 | 2008-05-12 |
| 1770668667 | Mark R. Young, Inc. | Community/Behavioral Health | 427 S. Stephenson Ave, 2nd Floor, Iron Mountain, MI 49801 | 2006-10-26 |
| 1790934263 | Catholic Social Services of The U.p. | Community/Behavioral Health | 427 S Stephenson Ave, Suite 215, Iron Mountain, MI 49801-3458 | 2008-09-09 |
| 1033387816 | Catholic Social Services of The Upper Peninsula | Community/Behavioral Health | 427 S Stephenson Ave, Ste. 215, Iron Mountain, MI 49801-3458 | 2008-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336394 | Kcs Community Services Inc | Community/Behavioral Health | 16577 Muirland St, Detroit, MI 48221-3012 | 2020-11-04 |
| 1407457864 | Initial Steps Behavioral and Learning Services | Community/Behavioral Health | 50203 Paine St, Canton, MI 48188-3332 | 2020-11-03 |
| 1720688617 | Mjw Counseling Services | Community/Behavioral Health | 564 Marcia St Sw, Wyoming, MI 49509-4013 | 2020-10-29 |
| 1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
| 1003414632 | Res-care Premier, Inc. | Community/Behavioral Health | 209 Kings Ln, Battle Creek, MI 49014-7832 | 2020-10-15 |
| 1104423508 | Cherry Street Services Inc | Community/Behavioral Health | 100 Wexford St Se Rm 214, Wyoming, MI 49548-2212 | 2020-10-08 |
| 1447857156 | Lauren Elizabeth Thayer | Community/Behavioral Health | 3257 City View Ct, Hudsonville, MI 49426-9013 | 2020-10-06 |
| 1093312613 | Guarding Therapy & Counseling Services, Pllc | Community/Behavioral Health | 26847 Grand River Ave Ste 24, Redford, MI 48240-1544 | 2020-10-06 |
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1013524032 | I Need A Moment, LLC | Community/Behavioral Health | 20411 Alhambra St, Southfield, MI 48076-5422 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | IRON MOUNTAIN |
| Zip Code | 49801 |
Please comment or provide details below to improve the information on WALMART.
| 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.