OMAHA VAMC (NPI# 1548772817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548772817 |
| Entity Type | Organization |
| Organization Name | OMAHA VAMC |
| Other Organization Name | FORT DODGE 1 VA CLINIC |
| Practice Address |
102 N 25th St Fort Dodge IA 50501-4338 |
| Mailing Address |
Po Box 94460 Cleveland OH 44101-4460 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2018-01-17 |
| 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 | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fort Dodge 1 VA Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063961670 | Omaha Vamc | Clinic/Center | 415 N. Perry Street, Davenport, IA 52801-1617 | 2016-09-23 |
| 1093105207 | Omaha Vamc | Clinic/Center | 825 Dorcas St, Suite 200, Omaha, NE 68108-1160 | 2015-01-26 |
| 1700276920 | Omaha Vamc | Clinic/Center | 1535 1st Ave Se, Cedar Rapids, IA 52402-5123 | 2015-01-26 |
| 1558778514 | Omaha Vamc | Clinic/Center | 520 10th Avenue, Suite 100, Coralville, IA 52241-1910 | 2014-07-22 |
| 1376817148 | Omaha Vamc | Clinic/Center | 915 Short St, Decorah, IA 52101-2412 | 2012-02-27 |
| 1851660724 | Omaha Vamc | Clinic/Center | 406 Avenue C, Sterling, IL 61081-3407 | 2011-12-22 |
| 1417182395 | Omaha Vamc | Clinic/Center | 3500 Dalton Way Sw Ste 300, Cedar Rapids, IA 52404-2564 | 2009-05-21 |
| 1811149529 | Omaha Vamc | Clinic/Center | 512 S Fremont St, Shenandoah, IA 51601-1508 | 2008-10-14 |
| 1134169592 | Omaha Vamc | Clinic/Center | 945 Tower Park Dr, Waterloo, IA 50701-9098 | 2006-06-07 |
| 1841238474 | Omaha Vamc | Clinic/Center | 300 E 3rd St Ste 302, North Platte, NE 69101-4000 | 2006-06-04 |
| Street Address |
102 N 25TH ST |
| City | FORT DODGE |
| State | IA |
| Zip Code | 50501-4338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770811218 | Michael Kim Waynar | Social Worker | 102 N 25th St, Fort Dodge, IA 50501-4338 | 2009-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023523412 | Katelin Judith Hartmann | Nurse Practitioner | 2913 5th Ave S, Fort Dodge, IA 50501 | 2017-12-06 |
| 1619338365 | John Clay Dds, Plc | Dentist | 1905 North 15th Street, Fort Dodge, IA 50501 | 2016-03-09 |
| 1710350517 | Alexandria Doyle | Nurse Practitioner | 800 Kenyon Road, Fort Dodge, IA 50501 | 2015-11-03 |
| 1366859993 | Heather Maureen Stillman Anderson | Dentist | 126 North 10th Street, Fort Dodge, IA 50501 | 2014-07-15 |
| 1205261575 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2029 5th Ave. South, Fort Dodge, IA 50501 | 2013-09-05 |
| 1952693020 | Riley Armstrong Plg & Htg, Inc | Contractor | 11 No. 20th St, Fort Dodge, IA 50501 | 2011-05-09 |
| 1407001639 | Marta Karyn Kramer | Pharmacist | 1428 2nd Ave No., Fort Dodge, IA 50501 | 2008-12-02 |
| 1427251305 | Andrew Bryant Sonksen | Dentist | 1716 1st Ave South, Fort Dodge, IA 50501 | 2007-06-07 |
| 1720127475 | John H Garton | Dentist | 1210 3rd Avenue South, Fort Dodge, IA 50501 | 2007-02-06 |
| 1912043746 | Aaron Mobley | Chiropractor | 1234 Central Ave, Fort Dodge, IA 50501 | 2007-01-29 |
| Find all providers in zip 50501 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154374148 | Omaha Vamc | Clinic/Center | 2419 2nd Ave N, Fort Dodge, IA 50501-3602 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063961670 | Omaha Vamc | Clinic/Center | 415 N. Perry Street, Davenport, IA 52801-1617 | 2016-09-23 |
| 1700276920 | Omaha Vamc | Clinic/Center | 1535 1st Ave Se, Cedar Rapids, IA 52402-5123 | 2015-01-26 |
| 1558778514 | Omaha Vamc | Clinic/Center | 520 10th Avenue, Suite 100, Coralville, IA 52241-1910 | 2014-07-22 |
| 1376817148 | Omaha Vamc | Clinic/Center | 915 Short St, Decorah, IA 52101-2412 | 2012-02-27 |
| 1417182395 | Omaha Vamc | Clinic/Center | 3500 Dalton Way Sw Ste 300, Cedar Rapids, IA 52404-2564 | 2009-05-21 |
| 1811149529 | Omaha Vamc | Clinic/Center | 512 S Fremont St, Shenandoah, IA 51601-1508 | 2008-10-14 |
| 1881874337 | Sioux Falls Vamc | Clinic/Center | 1850 Royal Avenue, Dickinson County Courtyard, Spirit Lake, IA 51360-9998 | 2007-11-13 |
| 1134169592 | Omaha Vamc | Clinic/Center | 945 Tower Park Dr, Waterloo, IA 50701-9098 | 2006-06-07 |
| 1346293818 | Omaha Vamc | Clinic/Center | 2600 Dodge St Ste A1, Dubuque, IA 52003-7159 | 2006-05-18 |
| 1861443590 | Omaha Vamc | Clinic/Center | 2826 W Locust St, Davenport, IA 52804-3354 | 2006-05-15 |
| Find all providers with the same taxonomy | ||||
| City | FORT DODGE |
| Zip Code | 50501 |
Please comment or provide details below to improve the information on OMAHA 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.