FAYETTEVILLE VAMC (NPI# 1396903456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396903456 |
| Entity Type | Organization |
| Organization Name | FAYETTEVILLE VAMC |
| Other Organization Name | HAMLET VA CLINIC |
| Practice Address |
100 Jefferson St Hamlet NC 28345-3100 |
| Mailing Address |
Po Box 89494 Cleveland OH 44101-6494 |
| Practice Telephone | 8282573777 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2018-04-11 |
| 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 |
|---|---|
| HAMLET VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992264824 | Fayetteville Vamc | Clinic/Center | 3015 Connecticut Ave, Joplin, MO 64804-3035 | 2019-03-19 |
| 1659879138 | Fayetteville Vamc | Clinic/Center | 4 Josh Ct, Jacksonville, NC 28546-0052 | 2018-01-30 |
| 1194256362 | Fayetteville Vamc | Clinic/Center | 4101 Raeford Road, Suite 100-b, Fayetteville, NC 28304-4114 | 2017-03-21 |
| 1528456811 | Fayetteville Vamc | Clinic/Center | 216 East Township Street, Fayetteville, AR 72703-2818 | 2015-01-08 |
| 1124422308 | Fayetteville Vamc | Clinic/Center | 306 Brynn Marr Rd, Jacksonville, NC 28546-7023 | 2014-10-16 |
| 1962819052 | Fayetteville Vamc | Clinic/Center | 18 Doctors Cir Ste 2, Supply, NC 28462-4089 | 2014-07-21 |
| 1114270212 | Fayetteville Vamc | Clinic/Center | 3112 Tramway Road, Sanford, NC 27332-9998 | 2012-10-26 |
| 1912201146 | Fayetteville Vamc | Clinic/Center | 139 Three Hunts Drive, Pembroke, NC 28372-6800 | 2011-01-03 |
| 1831415751 | Fayetteville Vamc | Clinic/Center | 2713 W Commercial St, Ozark, AR 72949-3409 | 2010-04-16 |
| 1568417798 | Fayetteville Vamc | Clinic/Center | 4006 Henderson Drive, Jacksonville, NC 28546-9998 | 2006-05-24 |
| Street Address |
100 JEFFERSON ST |
| City | HAMLET |
| State | NC |
| Zip Code | 28345-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396791661 | Sandhills Surgical Associates Clinic, Inc | Specialist | 100 Jefferson St, Hamlet, NC 28345-3100 | 2006-05-26 |
| 1194992479 | Anson Nguyen | Psychiatry & Neurology | 100 Jefferson St, Hamlet, NC 28345-3100 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245487149 | Crystal Jean Holman | Counselor | 526 Springhill Church Rd, Hamlet, NC 28345 | 2008-08-21 |
| 1376755132 | New Hope Adult Care | Assisted Living Facility | 406 Carr Street, Hamlet, NC 28345 | 2007-05-04 |
| 1972693869 | William Nall Cleveland | Dentist | 317 W Hamlet Avenue, Hamlet, NC 28345 | 2006-10-13 |
| 1730280629 | Paul Grayson Neal | Dentist | 806 West Hamlet Ave, Hamlet, NC 28345 | 2006-09-26 |
| 1689603060 | Spruce Ltc Group, LLC | Skilled Nursing Facility | 769 Old Cheraw Hwy, Hamlet, NC 28345 | 2006-06-30 |
| 1558353110 | Birmingham Drug Co Inc | Durable Medical Equipment & Medical Supplies | 27 W Main Street, Hamlet, NC 28345 | 2005-08-19 |
| 1881904043 | Southern Therapy Services | Speech-Language Pathologist | 34 W Main St, Hamlet, NC 28345 | 2010-10-20 |
| 1104868793 | Alan S Coulson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 108 Endo Lane, Suite 1, Hamlet, NC 28345 | 2006-06-11 |
| 1700329562 | Sherry Leviner | Nurse Practitioner | 707 Hylan Ave, Hamlet, NC 28345-2009 | 2016-11-28 |
| 1972610624 | William Roy Peele | Dentist | 104 Dogwood Ln, Hamlet, NC 28345-2217 | 2006-08-25 |
| Find all providers in zip 28345 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446105 | Durham Vamc | Clinic/Center | 11618 Us 70 Business Highway West, Suites 100 and 200, Clayton, NC 27520-2275 | 2020-01-17 |
| 1659879138 | Fayetteville Vamc | Clinic/Center | 4 Josh Ct, Jacksonville, NC 28546-0052 | 2018-01-30 |
| 1194256362 | Fayetteville Vamc | Clinic/Center | 4101 Raeford Road, Suite 100-b, Fayetteville, NC 28304-4114 | 2017-03-21 |
| 1457719312 | Salisbury Vamc | Clinic/Center | 3506 W Tyvola Road, Charlotte, NC 28208-9998 | 2016-02-08 |
| 1609274943 | Durham Vamc | Clinic/Center | 8081 Arco Corporate Dr, Suite 103, Raleigh, NC 27617-2041 | 2014-12-19 |
| 1124422308 | Fayetteville Vamc | Clinic/Center | 306 Brynn Marr Rd, Jacksonville, NC 28546-7023 | 2014-10-16 |
| 1962819052 | Fayetteville Vamc | Clinic/Center | 18 Doctors Cir Ste 2, Supply, NC 28462-4089 | 2014-07-21 |
| 1114270212 | Fayetteville Vamc | Clinic/Center | 3112 Tramway Road, Sanford, NC 27332-9998 | 2012-10-26 |
| 1174800585 | Hampton Vamc | Clinic/Center | 1845 West City Drive, Elizabeth City, NC 27909-9633 | 2011-11-14 |
| 1912201146 | Fayetteville Vamc | Clinic/Center | 139 Three Hunts Drive, Pembroke, NC 28372-6800 | 2011-01-03 |
| 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.