MONTANA VAMC (NPI# 1538117593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538117593 |
| Entity Type | Organization |
| Organization Name | MONTANA VAMC |
| Other Organization Name | MONTANA VAMC PHARMACY |
| Practice Address |
3687 Veterans Dr Fort Harrison MT 59636-9703 |
| Mailing Address |
Po Box 94451 Cleveland OH 44101-4451 |
| Practice Telephone | 4064477580 |
| Practice Fax Number | 4064477569 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2018-10-19 |
| Authorized Official Name | ERIN DENISE POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332100000X | Department of Veterans Affairs (VA) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | NCPDP# | 2706553 | 01 |
| Other Name | Type Code |
|---|---|
| MONTANA VAMC PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346870714 | Montana Vamc | Clinic/Center | 5535 Haul Road, Suite 12, Browning, MT 59417-9998 | 2020-01-24 |
| 1801271127 | Montana Vamc | Clinic/Center | 2271 Deerfield Lane, Helena, MT 59601-9998 | 2015-07-28 |
| 1518355817 | Montana Vamc | Clinic/Center | 440 West Laurel Avenue, Plentywood, MT 59254-1526 | 2015-01-08 |
| 1053728014 | Montana Vamc | Skilled Nursing Facility | 210 South Winchester, Miles City, MT 59301-4757 | 2014-07-22 |
| 1487831392 | Montana Vamc | Clinic/Center | 8 2nd Ave Ne, Cut Bank, MT 59427-2909 | 2008-01-23 |
| 1386682433 | Montana Vamc | Clinic/Center | 2000 Montana Ave, Glendive, MT 59330-3700 | 2006-06-02 |
| 1376599787 | Montana Vamc | Clinic/Center | 31 Three Mile Drive, Kalispell, MT 59901-3099 | 2006-05-26 |
| 1518912120 | Montana Vamc | Clinic/Center | 1400 29th St S Ste 1, Great Falls, MT 59405-5315 | 2006-05-23 |
| 1285688770 | Montana Vamc | Clinic/Center | 630 2nd Avenue South, Suite A, Glasgow, MT 59230-2304 | 2006-05-20 |
| 1639122823 | Montana Vamc | Clinic/Center | 1766 Majestic Ln, Billings, MT 59102-6759 | 2006-05-18 |
| Street Address |
3687 VETERANS DR |
| City | FORT HARRISON |
| State | MT |
| Zip Code | 59636-9703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700867181 | Johanna M Seliskar | Social Worker | 3687 Veterans Dr, Fort Harrison, MT 59636-9703 | 2005-11-11 |
| 1841801230 | Kale Lemelin | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-08-11 |
| 1992315378 | Christy Ann Leland | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-07-31 |
| 1336766252 | Kelsey Wohlfrom | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-06-26 |
| 1811511678 | Brandon Reiff | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-06-07 |
| 1881229722 | Antonette Darlington | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-03-11 |
| 1922631357 | Jason Willhardt | Spec/Tech, Pathology | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-02-13 |
| 1083245773 | Traci Huynh | Counselor | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-01-31 |
| 1487299053 | Vance E Lavinder | Social Worker | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2019-11-07 |
| 1477104792 | Shalae Herbert Jessop | Technician | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2019-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003173717 | James Kevin Mowery | Registered Nurse | Va Montana Medical Center Emergency Department, 3687 Veterans Drive, Ft Harrison, MT 59636 | 2012-04-19 |
| 1639436983 | Kathleen Hulett | Registered Nurse | 3687 Veteran's Drive, Va Medical Center, Fort Harrison, MT 59636 | 2012-04-11 |
| 1437385093 | Madonna Therese Stepanek | Social Worker | 3684 Veterans Dr., Fort Harrison, MT 59636 | 2009-06-09 |
| 1083795553 | Anthony James Menichino | Surgery | 600 Williams Street, Fort Harrison, MT 59636 | 2006-10-18 |
| 1124109137 | Connie J Miller | Speech-Language Pathologist | Fort Harrision Montana, 1892 Williams St, Fort Harrison, MT 59636 | 2006-10-17 |
| 1346339389 | Dana Sue Nehring | Internal Medicine | 1892 William St, Fort Harrison, MT 59636 | 2006-10-11 |
| 1780772921 | Beverly Ann Sickert-mchugh | Nurse Practitioner | Fort Harrison Vamc, Fort Harrison, MT 59636 | 2006-10-11 |
| 1366540460 | Gregory Ross Johnson | Surgery | 1892 Williams St., Department of Surgery (112) Va Montana Healthcare, Fort Harrison, MT 59636 | 2006-09-20 |
| 1356459085 | Kurt E Werner | Family Medicine | 1892veterans Way, Va Hospital, Fort Harrison, MT 59636 | 2006-08-25 |
| 1588771604 | Susan Ann Askin | Internal Medicine | 1500 Williams St, Fort Harrison, MT 59636 | 2006-08-24 |
| Find all providers in zip 59636 | ||||
| Taxonomy Code | 332100000X |
| Grouping | Suppliers |
| Classification | Department of Veterans Affairs (VA) Pharmacy |
| Department of Veterans Affairs (VA) Pharmacy means any place under VA jurisdiction where drugs are dispensed and Pharmaceutical Care is provided to enrolled Veterans, by licensed pharmacists. The Pharmacy is reviewed by JCAHO, utilizes the VA hospital’s DEA number, and has a designated NCPDP number. VA facility pharmacies include Inpatient (Institutional), Outpatient, Consolidated Mail Outpatient Pharmacies (CMOPs), Research, Addiction Treatment Centers, Long Term Care and Community Based Outpatient Clinics Pharmacies. The VHA Pharmacy Benefits Management - Strategic Healthcare Group has oversight for professional and practice activities of VA Pharmacies. Each pharmacy is under the direct supervision of a U.S. or U.S. territory licensed pharmacist, and has staffing to meet its designated scope of service. |
| Notes: Source: Pharmacy Benefits Management – Strategic Healthcare Group, Veterans Health Administration, Department of Veterans Affairs [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497703409 | Montana Vamc | Department of Veterans Affairs (VA) Pharmacy | 400 Veterans Drive, Columbia Falls, MT 59912 | 2006-05-04 |
| 1568410595 | Montana Vamc | Department of Veterans Affairs (VA) Pharmacy | 1775 Spring Creek Dr, Billings, MT 59102-6754 | 2006-05-04 |
| 1154711018 | Montana Vamc | Department of Veterans Affairs (VA) Pharmacy | 210 S Winchester Ave, Miles City, MT 59301-4757 | 2015-01-30 |
| City | FORT HARRISON |
| Zip Code | 59636 |
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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.