SHREVEPORT VAMC


Address: 1005 N Eastman Rd, Longview, TX 75601-4231
Phone: 6153553451

SHREVEPORT VAMC (NPI# 1457307522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457307522
Entity Type Organization
Organization Name SHREVEPORT VAMC
Other Organization Name LONGVIEW VA CBOC
Practice Address 1005 N Eastman Rd
Longview
TX 75601-4231
Mailing Address Po Box 94538
Cleveland
OH 44101
Practice Telephone 6153553451
Mailing Telephone 6153553451
Enumeration Date 2006-05-26
Last Update Date 2017-09-26
Authorized Official Name ERIN POTTER (NPI TEAM MEMBER)
Authorized Official Telephone 2023822579
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QV0200X Clinic/Center
Specialization: VA
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Longview VA CBOC Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1417996489 Shreveport Vamc Clinic/Center 910 Realtor Road, Texarkana, AR 71854-1020 2006-06-05
1649218090 Shreveport Vamc Clinic/Center 1691 Bienville Dr, Monroe, LA 71201-3756 2006-06-04
1639567993 Shreveport Vamc Clinic/Center 3000 Knight St, Building 5, Shreveport, LA 71105-2502 2015-01-08
1891745626 Shreveport Vamc General Acute Care Hospital 510 E Stoner Ave, Shreveport, LA 71101-4243 2006-05-11
1982652145 Shreveport Vamc Department of Veterans Affairs (VA) Pharmacy 510 E Stoner Ave, Shreveport, LA 71101-4243 2006-05-04

Office Location

Street Address 1005 N EASTMAN RD
City LONGVIEW
State TX
Zip Code 75601-4231

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487638532 Rozina Parveen Internal Medicine 1005 N Eastman Rd, Longview, TX 75601-4231 2005-12-02
1619471505 Susan Hughes Dietitian, Registered 1005 N Eastman Rd, Longview, TX 75601-4231 2018-03-23
1457861148 James Lee Nurse Practitioner 1005 N Eastman Rd, Longview, TX 75601-4231 2017-10-06
1881017804 Debra Mcnamara Nurse Practitioner 1005 N Eastman Rd, Longview, TX 75601-4231 2014-01-27
1205178993 Betty Jane Witherspoon Social Worker 1005 N Eastman Rd, Va Cboc, Longview, TX 75601-4231 2013-03-21
1780985820 Brittany Lin Hess Nutritionist 1005 N Eastman Rd, Longview, TX 75601-4231 2010-11-05
1174850788 Richard Paul Delk Audiologist 1005 N Eastman Rd, Longview, TX 75601-4231 2009-11-03
1023221413 Ravikumar Hanumanthaiah Edalur Emergency Medicine 1005 N Eastman Rd, None, Longview, TX 75601-4231 2007-05-08
1457440034 Shaunna Sue Mitchell Family Medicine 1005 N Eastman Rd, Longview, TX 75601-4231 2006-10-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992351076 Stebbins Hospice LLC Hospice Care, Community Based 600-602 E. Whaley, Longview, TX 75601 2019-08-14
1720437692 J.l. Miguez, Inc. Hearing Aid Equipment 822 N 4th Street, Longview, TX 75601 2016-06-10
1801244090 Voyage Medical Solutions, LLC Durable Medical Equipment & Medical Supplies 111 W Tyler St, Longview, TX 75601 2016-05-27
1134504426 Siobain Kay Rogers Nurse Practitioner 703 E Marshall Ave Ste 4003, Longview, TX 75601 2015-07-28
1669882882 Snehal Shrivastava Internal Medicine 1402 N 4th St Ste 300, Longview, TX 75601 2014-04-28
1679824221 Jennifer Ruth Williams Occupational Therapist 110 E Tyler St, Longview, TX 75601 2012-09-23
1548525603 Candice Renee Ramos Social Worker 950 N Sixth St, Longview, TX 75601 2012-07-05
1497082747 Jarett S Harkness Pharmacist 511 E. Marshall Avenue, Longview, TX 75601 2009-11-06
1407086333 Udeme Ekpenyong Pediatrics 818 N. 4th St., Longview, TX 75601 2009-07-27
1386823359 Assisted Living Concepts Inc Assisted Living Facility 2104 Alpine Road, Longview, TX 75601 2007-10-26
Find all providers in zip 75601

Taxonomy Information

Taxonomy Code 261QV0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization VA

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851348999 Longview Va Clinic Clinic/Center 1801 1st Ave, Suite 4c, Longview, WA 98632-3270 2006-05-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285241711 Houston Vamc Clinic/Center 1327 Lake Pointe Pkwy Ste 520, Sugar Land, TX 77478-4096 2020-09-29
1720605629 El Paso Vamc Clinic/Center 5229 Sanders Ave, El Paso, TX 79924-6409 2020-06-26
1427671627 San Antonio Vamc Clinic/Center 16019 Nacogdoches Rd Ste 101, San Antonio, TX 78247-1128 2020-05-21
1568097491 El Paso Vamc Clinic/Center 1870 Northwestern Drive, El Paso, TX 79912-9998 2020-03-11
1902444607 El Paso Vamc Clinic/Center 350 Revere Street, El Paso, TX 79905-9998 2019-12-13
1982178190 El Paso Vamc Clinic/Center 1250b E Cliff Dr, El Paso, TX 79902-4823 2019-01-22
1508313149 Dallas Vamc Clinic/Center 3804 West 15th Street, Suite 175, Plano, TX 75075-4752 2016-09-01
1194180406 San Antonio Vamc Clinic/Center 526 E Court St, Seguin, TX 78155-5712 2015-12-31
1649645672 Dallas Vamc Clinic/Center 1518 E Lancaster Avenue, Suite A, Fort Worth, TX 76102-6775 2015-12-02
1073998431 Dallas Vamc Clinic/Center 4900 S Lancaster Rd, Dallas, TX 75216-7402 2015-07-28
Find all providers with the same taxonomy

Competitor

Search similar providers

City LONGVIEW
Zip Code 75601

Improve Information

Please comment or provide details below to improve the information on SHREVEPORT VAMC.

Dataset Information

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.

Trending Searches