MONTGOMERY VAMC (NPI# 1518355650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518355650 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY VAMC |
| Other Organization Name | DOTHAN 1 VA CLINIC |
| Practice Address |
3753 Ross Clark Circle Suite 4 Dothan AL 36303-2291 |
| Mailing Address |
Po Box 89470 Cleveland OH 44101-6470 |
| Practice Telephone | 8282572333 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2018-04-12 |
| 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 |
|---|---|
| DOTHAN 1 VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265898670 | Montgomery Vamc | Department of Veterans Affairs (VA) Pharmacy | 801 Veterans Way, Montgomery, AL 36117-9998 | 2016-01-14 |
| 1982074720 | Montgomery Vamc | Clinic/Center | 6635 Bass Road, Bldg. 9214, Fort Benning, GA 31905-9998 | 2015-10-06 |
| 1679526131 | Montgomery Vamc | Clinic/Center | 2020 Alexander Dr, Dothan, AL 36301-3004 | 2006-05-18 |
| 1255383311 | Montgomery Vamc | Clinic/Center | 1310 13th Ave, Columbus, GA 31901-2335 | 2006-05-17 |
| 1255389730 | Montgomery Vamc | Department of Veterans Affairs (VA) Pharmacy | 2400 Hospital Road, Tuskegee, AL 36083-5001 | 2006-05-05 |
| 1801854146 | Montgomery Vamc | Department of Veterans Affairs (VA) Pharmacy | 215 Perry Hill Road, Montgomery, AL 36109-3725 | 2006-05-03 |
| 1942665278 | Montgomery Vamc | Clinic/Center | 8105 Veterans Way, Montgomery, AL 36117-9998 | 2015-12-31 |
| 1063755668 | Montgomery Vamc | Clinic/Center | 159 Whetstone St, Monroeville, AL 36460-2625 | 2013-04-02 |
| 1790015402 | Montgomery Vamc | Clinic/Center | 301 Andrews Avenue, Ft. Rucker, AL 36362-7836 | 2009-12-31 |
| 1497809289 | Montgomery Vamc | Clinic/Center | 3753 Ross Clark Cir, Suite 4, Dothan, AL 36303-2295 | 2007-01-22 |
| Street Address |
3753 ROSS CLARK CIRCLE SUITE 4 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36303-2291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053413302 | Paula Downie | Social Worker | 3753 Ross Clark Circle, Ste. 4, Dothan, AL 36303 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
| 1164887907 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 118 Obrannan Park Drive, Dothan, AL 36303 | 2015-12-21 |
| 1245634245 | Api Counseling, LLC | Community/Behavioral Health | 1583 Montgomery Highway, Dothan, AL 36303 | 2014-10-20 |
| 1467792382 | Bolanle Boladale Akinduro | Home Health | 107 Hidden Glen Way, Dothan, AL 36303 | 2013-03-01 |
| 1104162114 | Al Dental PC | Dentist | 3400 Montgomery Highway, Dothan, AL 36303 | 2012-12-19 |
| 1659661874 | Juanita Titrud Heersink | Internal Medicine | 210 Westside Drive, Dothan, AL 36303 | 2011-04-08 |
| 1790918548 | Brandi Bradshaw Reeves | Counselor | 100 Westside Dr., Dothan, AK 36303 | 2009-08-27 |
| 1396917589 | Brian Davis | Physical Therapist | 3763 Ross Clark Circle, Dothan, AL 36303 | 2008-03-27 |
| 1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
| 1770644775 | Christine Carroll Fain | Occupational Therapist | 3763 Ross Clark Cir Ste 1, Alacare Home Health, Dothan, AL 36303 | 2006-12-13 |
| Find all providers in zip 36303 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679526131 | Montgomery Vamc | Clinic/Center | 2020 Alexander Dr, Dothan, AL 36301-3004 | 2006-05-18 |
| 1497809289 | Montgomery Vamc | Clinic/Center | 3753 Ross Clark Cir, Suite 4, Dothan, AL 36303-2295 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518319052 | Birmingham Vamc | Clinic/Center | 2415 7th Avenue South, Birmingham, AL 35233-3317 | 2016-07-08 |
| 1083961007 | Cindy Arlene Jones | Clinic/Center | 155 Scenic Rd, Jacksonville, AL 36265-8251 | 2012-08-09 |
| 1992024947 | Birmingham Vamc | Clinic/Center | 100 Judy Smith Dr, Guntersville, AL 35976-4500 | 2010-05-28 |
| 1255574729 | Birmingham Vamc | Clinic/Center | 151 9th Ave Nw, Childersburg, AL 35044-1231 | 2009-04-14 |
| 1689618373 | Birmingham Vamc | Clinic/Center | 422 Cox Blvd, Dd, Sheffield, AL 35660-4000 | 2006-06-15 |
| 1003857764 | Biloxi Vamc | Clinic/Center | 4444 Demetropolis Rd, Mobile, AL 36619-9602 | 2006-06-10 |
| 1043250632 | Birmingham Vamc | Clinic/Center | 500 Markaview Road Northwest, Huntsville, AL 35805-3652 | 2006-06-08 |
| 1063450195 | Birmingham Vamc | Clinic/Center | 206 Rescia Ave, Gadsden, AL 35906-5933 | 2006-06-02 |
| 1891741294 | Birmingham Vamc | Clinic/Center | 1454 Jones Dairy Rd, Jasper, AL 35501-6164 | 2006-05-26 |
| 1306897400 | Birmingham Vamc | Clinic/Center | 96 Ali Way, Oxford, AL 36203-1835 | 2006-05-13 |
| Find all providers with the same taxonomy | ||||
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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.