DEPARTMENT OF VETERANS AFFAIR G.V. (SONNY) MONTGOMERY VA MEDICAL CENTE


Address: 5942 Westmore Dr, Jackson, MS 39206-2209
Phone: 6013661739

DEPARTMENT OF VETERANS AFFAIR G.V. (SONNY) MONTGOMERY VA MEDICAL CENTE (NPI# 1497930184) 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) 1497930184
Entity Type Organization
Organization Name DEPARTMENT OF VETERANS AFFAIR G.V. (SONNY) MONTGOMERY VA MEDICAL CENTE
Practice Address 5942 Westmore Dr
Jackson
MS 39206-2209
Practice Telephone 6013661739
Mailing Telephone 6013661739
Enumeration Date 2008-01-01
Last Update Date 2008-01-01
Authorized Official Name MRS. AMY WHEAT (NURSE RECRUITER)
Authorized Official Telephone 6013683873
Authorized Official Credential RN, BSN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 286500000X Military Hospital P321453 MS Hospitals

Office Location

Street Address 5942 WESTMORE DR
City JACKSON
State MS
Zip Code 39206-2209

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023661824 Latoya Lanette Trunell Occupational Therapy Assistant 787 East Northside Drive, Jackson, MS 39206 2019-07-20
1649839291 Andrew Harris Dentist 4505 I-55 Frontage Rd. N, Jackson, MS 39206 2019-06-07
1679065916 Savannah Lee Zachry Physical Therapist 5140 Galaxie Dr Ste 108, Jackson, MS 39206 2018-06-02
1669987723 Harmony House Calls LLC Nurse Practitioner 5140 Galaxie Dr Ste 105, Jackson, MS 39206 2017-12-11
1841719903 Yolanda Yvette Bell Nurse Practitioner 6064 Whitestone Rd, Jackson, MS 39206 2017-09-10
1760907117 Anthony Brown Jr. Physical Therapist 5411 I-55 North, Jackson, MS 39206 2017-08-07
1114457132 Ambric N Williams Occupational Therapy Assistant 6017 Whitestone Rd, Jackson, MS 39206 2017-06-13
1952835613 Peak Chiropractic Care, LLC Chiropractor 4915 I-55 North, Suite 201b, Jackson, MS 39206 2017-04-19
1447798293 Peterkin and Associates of Mississippi Inc Community/Behavioral Health 5155 Galaxie Drive, Suite F, Jackson, MS 39206 2017-02-01
1952844219 Jennifer Penick Counselor 460 Briarwood Drive, Suite 510, Jackson, MS 39206 2016-11-18
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Taxonomy Information

Taxonomy Code 286500000X
Grouping Hospitals
Classification Military Hospital

Taxonomy Definition

A health care facility operated by the Department of Defense.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407290703 G.v. Sonny Montgomery Medical Center Military Hospital 425 Beasley Rd Apt K5, Jackson, MS 39206-2929 2013-04-18
1265508287 Va Jackson Military Hospital 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2006-11-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174972772 Usaf 81st Medical Group Military Hospital 81msgs/sgcq 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 2016-06-06
1609268267 Veterans Health Adminstration Military Hospital 947 Clubhouse Dr, Pearl, MS 39208-9528 2015-02-19
1932360815 Samuel Leroy Graham Military Hospital 14115 Fred and Al Key Rd, Kiln, MS 39556-8060 2008-06-23
1023302957 81st Medical Group Military Hospital 301 Fisher St, 81 Mdos Sgof, Keesler Afb, MS 39534-2508 2011-06-08
1831495415 U.S. Department of Veterans Affairs Military Hospital 400 Veterans Ave, T100 (social Work), Biloxi, MS 39531-2410 2011-01-31
1023043619 Keesler Medical Center Military Hospital 301 Fisher St, Biloxi, MS 39534-2508 2006-07-11

Competitor

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City JACKSON
Zip Code 39206

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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.

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