MARION VAMC (NPI# 1508219858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508219858 |
| Entity Type | Organization |
| Organization Name | MARION VAMC |
| Other Organization Name | SOUTH BEND 1 VA CLINIC |
| Practice Address |
340 Columbia Place South Bend IN 46601-2339 |
| Mailing Address |
Po Box 5285 Madison WI 53705-0285 |
| Practice Telephone | 6088217200 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |
| 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 |
|---|---|
| SOUTH BEND 1 VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346629367 | Marion Vamc | Clinic/Center | 2500 E State Blvd, Fort Wayne, IN 46805-4728 | 2015-05-22 |
| 1649217027 | Marion Vamc | Clinic/Center | 3401 N Morrison Rd, Muncie, IN 47304-5568 | 2006-06-02 |
| 1427597707 | Marion Vamc | Clinic/Center | 1540 Trinity Pl, Mishawaka, IN 46545-5006 | 2017-02-20 |
| 1558684829 | Marion Vamc | Clinic/Center | 750 N Broadway, Peru, IN 46970-1027 | 2010-03-01 |
| 1598095036 | Marion Vamc | Military Hospital | 2401 W Main St, Marion, IL 62959-1188 | 2010-01-06 |
| 1528217361 | Marion Vamc | Clinic/Center | 2606 Peddlers Village Rd, Suite 210, Goshen, IN 46526-1004 | 2008-09-17 |
| 1225087786 | Marion Vamc | General Acute Care Hospital | 1700 E 38th St, Marion, IN 46953-4568 | 2006-05-10 |
| 1568411791 | Marion Vamc | General Acute Care Hospital | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2006-05-06 |
| 1457309379 | Marion Vamc | Department of Veterans Affairs (VA) Pharmacy | 1700 E 38th St, Marion, IN 46953-4568 | 2006-05-04 |
| 1427016369 | Marion Vamc | Department of Veterans Affairs (VA) Pharmacy | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2006-05-02 |
| Street Address |
340 COLUMBIA PLACE |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-2339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129730 | Mallory Bachman | Social Worker | 340 Columbia Place, South Bend, IN 46601 | 2020-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042869 | Indianapolis Vamc | Clinic/Center | 300 Highway 361 Ste 2516, Crane, IN 47522-4000 | 2020-01-21 |
| 1164992897 | Indianapolis Vamc | Clinic/Center | 5315 Lafayette Rd, Indianapolis, IN 46254-1618 | 2018-11-26 |
| 1346629367 | Marion Vamc | Clinic/Center | 2500 E State Blvd, Fort Wayne, IN 46805-4728 | 2015-05-22 |
| 1790173078 | Indianapolis Vamc | Clinic/Center | 1332 Arch Haven Avenue, Bloomington, IN 47403-2079 | 2015-01-08 |
| 1154719045 | Indianapolis Vamc | Clinic/Center | 777 N Meridian St Ste 200, Indianapolis, IN 46204-1420 | 2014-12-31 |
| 1982092870 | Indianapolis Vamc | Clinic/Center | 4612 South Springhill Junction, Terre Haute, IN 47802-9998 | 2014-12-31 |
| 1720172174 | Va Hospital - Marion, In | Clinic/Center | 1700 East 38 Street, Marion, IN 46953 | 2006-10-02 |
| 1326087271 | Indianapolis Vamc | Clinic/Center | 380 W Honey Creek Dr, Terre Haute, IN 47802-3720 | 2006-06-06 |
| 1003854183 | Dayton Vamc | Clinic/Center | 1010 N J St, Richmond, IN 47374-1911 | 2006-06-02 |
| 1649217027 | Marion Vamc | Clinic/Center | 3401 N Morrison Rd, Muncie, IN 47304-5568 | 2006-06-02 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
Please comment or provide details below to improve the information on MARION 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.