MARION VAMC (NPI# 1558684829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558684829 |
| Entity Type | Organization |
| Organization Name | MARION VAMC |
| Other Organization Name | PERU VA CBOC |
| Practice Address |
750 N Broadway Peru IN 46970-1027 |
| Mailing Address |
Po Box 5285 Madison WI 53705-0285 |
| Practice Telephone | 6088217200 |
| Mailing Telephone | 6088217200 |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2017-03-08 |
| 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 |
|---|---|
| PERU VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508219858 | Marion Vamc | Clinic/Center | 340 Columbia Place, South Bend, IN 46601-2339 | 2016-07-21 |
| 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 |
| 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 |
750 N BROADWAY |
| City | PERU |
| State | IN |
| Zip Code | 46970-1027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629224712 | Sara Tanner | Pharmacist | 750 N Broadway, Peru, IN 46970-1027 | 2008-08-08 |
| 1326552159 | Steven Dondi Nelson | Social Worker | 750 N Broadway, Peru, IN 46970-1027 | 2017-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896311 | Christina M Van Meter | Pharmacist | 930 W Main St., Peru, IN 46970 | 2019-11-26 |
| 1821554585 | Thomas Gilbert Reaves | Counselor | 5851 S. Us-31, Lot 47, Peru, IN 46970 | 2019-02-18 |
| 1104154863 | American Foot and Ankle Inc | Durable Medical Equipment & Medical Supplies | 632 West Main Street, Peru, IN 46970 | 2009-11-18 |
| 1629208251 | Rafik Farag | Family Medicine | 1694 W Logansport Rd., Community Health Center of Miami County, Peru, IN 46970 | 2009-07-16 |
| 1508076050 | Peggy L Wert | Occupational Therapy Assistant | 850 Matador Drive, Peru, IN 46970 | 2007-05-23 |
| 1972690634 | Sherif Elmasry | Pediatrics | 655 N Broadway, Peru, IN 46970 | 2006-10-06 |
| 1548357320 | Belinda Diane Stonger | Hearing Instrument Specialist | 1 S. Broadway, Peru, IN 46970 | 2006-10-05 |
| 1134214083 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 315 West Old Key Drive, Peru, IN 46970 | 2006-10-04 |
| 1710082409 | Thomas J Guthrie | Dentist | 5 West Logan Street, Peru, IN 46970 | 2006-09-14 |
| 1750921938 | Christina Russell | Counselor | 1000 N Broadway Ste A, Peru, IN 46970 | 2020-01-15 |
| Find all providers in zip 46970 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639125479 | Hines Vamc | Clinic/Center | 4461 N. Progress Village, Peru, IL 61354-1109 | 2006-05-25 |
| 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 |
| 1508219858 | Marion Vamc | Clinic/Center | 340 Columbia Place, South Bend, IN 46601-2339 | 2016-07-21 |
| 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 |
| Find all providers with the same taxonomy | ||||
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.