KANSAS CITY VAMC (NPI# 1457394033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457394033 |
| Entity Type | Organization |
| Organization Name | KANSAS CITY VAMC |
| Other Organization Name | ST. JAMES VA CLINIC |
| Practice Address |
207 Matlock Drive St. James MO 65559-9998 |
| Mailing Address |
Po Box 94458 Cleveland OH 44101-4458 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2017-12-14 |
| 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 |
|---|---|
| St. James VA Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538542188 | Kansas City Vamc | Clinic/Center | 2303 Higgins Road, Suite F, Platte City, MO 64079-7101 | 2015-07-01 |
| 1649660861 | Kansas City Vamc | Clinic/Center | 935 South Parklane, Wichita, KS 67218-3210 | 2015-01-26 |
| 1912397134 | Kansas City Vamc | Clinic/Center | 949 South Parklane, Wichita, KS 67218-3210 | 2015-01-26 |
| 1487061446 | Kansas City Vamc | Clinic/Center | 4251 Northern Avenue, Kansas City, MO 64133-1593 | 2014-07-22 |
| 1396098497 | Kansas City Vamc | Clinic/Center | 6830 Anderson Street, Shawnee, KS 66226-9998 | 2012-10-26 |
| 1720301682 | Kansas City Vamc | Clinic/Center | 3320 W 10th St, Sedalia, MO 65301-2111 | 2010-03-08 |
| 1134375546 | Kansas City Vamc | Clinic/Center | 3430 W Edgewood Dr, Jefferson City, MO 65109-6961 | 2008-08-18 |
| 1235171083 | Kansas City Vamc | Clinic/Center | 1907 Harding Dr, Parsons, KS 67357-8111 | 2006-06-12 |
| 1609818459 | Kansas City Vamc | Clinic/Center | 702 E Young Ave, Warrensburg, MO 64093-9610 | 2006-06-12 |
| 1588606750 | Kansas City Vamc | Clinic/Center | 501 S Hospital Dr, Paola, KS 66071-2103 | 2006-06-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KANSAS CITY VAMC | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 |
| Street Address |
207 MATLOCK DRIVE |
| City | ST. JAMES |
| State | MO |
| Zip Code | 65559-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033605282 | Sarah Curtis | Speech-Language Pathologist | 620 N. Jefferson St., St. James, MO 65559 | 2018-07-10 |
| 1245592054 | Stanley Charles Johnston | Pharmacist | 105 W. Eldon St, St. James, MO 65559 | 2012-06-08 |
| 1346490638 | Diana Brandt | Physical Therapist | 115 E. Springfield, St. James, MO 65559 | 2008-09-24 |
| 1336346147 | Angela Michelle Taylor | Counselor | 32151 County Road 3610, St. James, MO 65559 | 2007-06-27 |
| 1790839850 | Donna L Rippelmeyer | Social Worker | 104 N Jefferson, St James, MO 65559 | 2007-01-23 |
| 1689735128 | Christine G Durbin | Nurse Practitioner | 1000 N. Jefferson St, Saint James, MO 65559 | 2006-12-12 |
| 1730250762 | Forest City Health Mart Pharmacy | Pharmacist | 1000 B N Jefferson, Saint James, MO 65559 | 2006-11-13 |
| 1659440014 | Jesus Martinez | Social Worker | 13160 County Rd. 3610, St. James, MO 65559 | 2006-11-07 |
| 1790895100 | St. James Ambulance District | Ambulance | 203 S. Louise, St. James, MO 65559 | 2006-08-30 |
| 1811910052 | Susanna Heike White | Counselor | 13160 Cty Rd 3610, St. James, MO 65559 | 2006-07-26 |
| Find all providers in zip 65559 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992264824 | Fayetteville Vamc | Clinic/Center | 3015 Connecticut Ave, Joplin, MO 64804-3035 | 2019-03-19 |
| 1538542188 | Kansas City Vamc | Clinic/Center | 2303 Higgins Road, Suite F, Platte City, MO 64079-7101 | 2015-07-01 |
| 1114317369 | St. Louis Jc Vamc | Clinic/Center | 2600 Washington Boulevard, St. Louis, MO 63103-1420 | 2015-01-27 |
| 1396135513 | St. Louis Jc Vamc | Clinic/Center | 3615 Olive Street, St. Louis, MO 63108-3604 | 2015-01-26 |
| 1487061446 | Kansas City Vamc | Clinic/Center | 4251 Northern Avenue, Kansas City, MO 64133-1593 | 2014-07-22 |
| 1902198922 | St. Louis Jc Vamc | Clinic/Center | 1627 A Roy Dr, Washington, MO 63090-5008 | 2011-05-10 |
| 1720301682 | Kansas City Vamc | Clinic/Center | 3320 W 10th St, Sedalia, MO 65301-2111 | 2010-03-08 |
| 1134375546 | Kansas City Vamc | Clinic/Center | 3430 W Edgewood Dr, Jefferson City, MO 65109-6961 | 2008-08-18 |
| 1518155878 | St. Louis Jc Vamc | Clinic/Center | 6854 Parker Rd, Florissant, MO 63033-5313 | 2007-10-11 |
| 1609818459 | Kansas City Vamc | Clinic/Center | 702 E Young Ave, Warrensburg, MO 64093-9610 | 2006-06-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KANSAS CITY VAMC.
| 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.