BOISE VAMC (NPI# 1548677602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548677602 |
| Entity Type | Organization |
| Organization Name | BOISE VAMC |
| Other Organization Name | HINES VA CLINIC |
| Practice Address |
635 Highway 20 N Ste 4 Hines OR 97738-9462 |
| Mailing Address |
Po Box 94402 Cleveland OH 44101-4402 |
| Practice Telephone | 7023413164 |
| Mailing Telephone | 7023413164 |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2020-07-29 |
| 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 |
|---|---|
| BURNS VA CLINIC | Other Name - Individual/Organization |
| HINES VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750798815 | Boise Vamc | Clinic/Center | 705 Lena St, Salmon, ID 83467-4208 | 2014-07-21 |
| 1164461042 | Boise Vamc | Clinic/Center | 260 2nd Ave E, Suite 12, Twin Falls, ID 83301-6242 | 2006-06-06 |
| 1003223165 | Boise Vamc | Clinic/Center | 815 N 6th E, Mountain Home, ID 83647-2207 | 2014-07-21 |
| 1124152921 | Boise Vamc | Clinic/Center | 4521 Thomas Jefferson St, Caldwell, ID 83605-5100 | 2007-03-15 |
| 1861441867 | Boise Vamc | General Acute Care Hospital | 500 W Fort St, Boise, ID 83702-4501 | 2006-05-08 |
| 1841258985 | Boise Vamc | Department of Veterans Affairs (VA) Pharmacy | 500 W Fort St, Boise, ID 83702-4501 | 2006-05-01 |
| Street Address |
635 HIGHWAY 20 N STE 4 |
| City | HINES |
| State | OR |
| Zip Code | 97738-9462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834062 | Nalani Zoe Thompson | Registered Nurse | 635 Hwy 20 N, Suite #4, Hines, OR 97738 | 2020-06-05 |
| 1043754955 | Shannon Carroll | Counselor | 120 N Roanoke, Hines, OR 97738 | 2016-12-12 |
| 1639547060 | Jennifer Ingram Hoke | Counselor | 705 Highway 20 South, Hines, OR 97738 | 2015-09-02 |
| 1306908538 | Kirkland Institute for Child & Family Study, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 705 Highway 20 S, Hines, OR 97738 | 2006-12-14 |
| 1417325846 | Desiree Amber Lane | Counselor | 705 Highway 20 South, Hines, OR 97738 | 2015-09-02 |
| 1962870394 | Karen K Hunsucker | Counselor | 705 Highway 20 South, Hines, OR 97738 | 2015-09-02 |
| 1790074557 | Jessica R Horrell | Pharmacist | 629 North Highway 20, Hines, OR 97738 | 2011-04-01 |
| 1558892984 | Cjl Enterprises Inc | Substance Abuse Rehabilitation Facility | 705 Highway 20 S, Hines, OR 97738-2522 | 2017-03-27 |
| 1184053175 | Eastern Oregon Academy, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 705 Highway 20 S, Hines, OR 97738-2522 | 2013-11-11 |
| 1043795305 | Tami Sandell | Counselor | 141 N Milwaukie Ave, Hines, OR 97738-2554 | 2018-10-02 |
| Find all providers in zip 97738 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518314970 | Edward Hines Jr. Va Hospital | Clinic/Center | 5000 S 5th Ave, Hines, IL 60141-3030 | 2016-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841714607 | Roseburg Vamc | Clinic/Center | 211 E 7th Ave Ste 220, Eugene, OR 97401-2722 | 2017-08-02 |
| 1457742538 | Walla Walla Vamc | Clinic/Center | 2 Marine Drive, Suite 103, Boardman, OR 97818-9998 | 2015-02-11 |
| 1710378898 | Walla Walla Vamc | Clinic/Center | 401 Northeast 1st Street, Suite A, Enterprise, OR 97828-1186 | 2015-02-11 |
| 1346657491 | Portland Vamc | Clinic/Center | 308 Sw 1st Ave, Suite 155, Portland, OR 97204-3400 | 2014-07-21 |
| 1104233295 | Portland Vamc | Clinic/Center | 704 Veterans Drive, The Dalles, OR 97058-9998 | 2014-07-21 |
| 1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
| 1114151248 | Portland Vamc | Clinic/Center | 1925 Ne Stucki Ave Ste 300, Hillsboro, OR 97006-6945 | 2009-05-04 |
| 1184812943 | Walla Walla Vamc | Clinic/Center | 202 12th St, La Grande, OR 97850-2879 | 2007-10-05 |
| 1710174974 | Portland Vamc | Clinic/Center | 1800 Ne Market Drive, Fairview, OR 97024-9998 | 2007-10-01 |
| 1720022940 | Portland Vamc | Clinic/Center | 91400 S Neacoxie Blvd, Building 7315, Warrenton, OR 97146-7267 | 2006-06-16 |
| 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.