JAMES H. QUILLEN VA MEDICAL CENTER (NPI# 1447578786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447578786 |
| Entity Type | Organization |
| Organization Name | JAMES H. QUILLEN VA MEDICAL CENTER |
| Practice Address |
2755 Babbs Mill Rd Afton TN 37616-4254 |
| Practice Telephone | 4235520457 |
| Mailing Telephone | 4235520457 |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-11 |
| Authorized Official Name | ANGELA MICHELE COVINGTON (REGISTERED NURSE) |
| Authorized Official Telephone | 4235520457 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
132704 | TN | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225187669 | James H. Quillen Va Medical Center | Chronic Disease Hospital | 415 S Main Ave, Erwin, TN 37650-1119 | 2007-01-08 |
| 1386673283 | James H. Quillen Va Medical Center | General Acute Care Hospital | James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Moutain Home, TN 37684 | 2006-07-02 |
| Street Address |
2755 BABBS MILL RD |
| City | AFTON |
| State | TN |
| Zip Code | 37616-4254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720501430 | Shea Price Pitts | Nurse Practitioner | 343 Pine Ridge Drive, Afton, TN 37616 | 2017-07-25 |
| 1194261354 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 2619 Erwin Highway, Afton, TN 37616 | 2017-01-12 |
| 1326584830 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 2609 Erwin Highway, Afton, TN 37616 | 2017-01-09 |
| 1669956728 | Amethyst Moriah Crawford | Specialist/Technologist | 2515 Brittontown Rd, Afton, TN 37616-3951 | 2018-09-24 |
| 1639620537 | Denise Alder | Specialist/Technologist | 365 Ripley Island Rd, Afton, TN 37616-5860 | 2016-10-17 |
| 1467760876 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 855 Meadowbrook Rd, Afton, TN 37616-6047 | 2010-09-20 |
| 1932316627 | Kathleen H. Wright | Speech-Language Pathologist | 160 Falcon Cir, Afton, TN 37616-6152 | 2007-05-16 |
| 1407030158 | Ted Craig Bleckstein | Dentist | 1085 River Village Ln, Afton, TN 37616-6219 | 2007-12-18 |
| 1588138374 | Beverly Fox | Physical Therapy Assistant | 215 Old Jonesboro Rd, Afton, TN 37616-6357 | 2019-01-15 |
| 1235469651 | Path Breakers | Case Management | 320 Preacher Laws Rd, Afton, TN 37616-6450 | 2010-01-07 |
| Find all providers in zip 37616 | ||||
| Taxonomy Code | 2865M2000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| Specialization | Military General Acute Care Hospital |
| A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as "pass-through" items. |
| Notes: [1/1/2005: title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902062425 | Tennessee Valley Healthcare Services | Military Hospital | 1310 24th Ave S # 11t, Nashville, TN 37212-2637 | 2008-08-04 |
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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.