PRESCOTT VAMC


Address: 33 West Vista Drive, Holbrook, AZ 86025-1844
Phone: 7023413152

PRESCOTT VAMC (NPI# 1558759837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558759837
Entity Type Organization
Organization Name PRESCOTT VAMC
Other Organization Name HOLBROOK VA OOS
Practice Address 33 West Vista Drive
Holbrook
AZ 86025-1844
Mailing Address Po Box 94411
Cleveland
OH 44101-4411
Practice Telephone 7023413152
Mailing Telephone 7023413152
Enumeration Date 2015-01-08
Last Update Date 2017-11-01
Authorized Official Name ERIN POTTER (NPI TEAM MEMBER)
Authorized Official Telephone 2023822579
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QV0200X Clinic/Center
Specialization: VA
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
HOLBROOK VA OOS Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1356739650 Prescott Vamc Clinic/Center 801 North Navajo Drive, Suite B, Page, AZ 86040-9998 2015-01-08
1952345076 Prescott Vamc Clinic/Center 1300 W University Ave, #200, Flagstaff, AZ 86001-7214 2006-06-16
1770539561 Prescott Vamc Clinic/Center 2668 Hualapai Mountain Rd, Kingman, AZ 86401-8387 2006-05-25
1477505493 Prescott Vamc Clinic/Center 501 S Willard St, Cottonwood, AZ 86326-8120 2006-05-17
1477504975 Prescott Vamc Clinic/Center 41810 N Venture Dr Bldg B, Anthem, AZ 85086-3169 2006-05-12
1275583684 Prescott Vamc General Acute Care Hospital 500 N Highway 89, Prescott, AZ 86313-5001 2006-05-10
1801854328 Prescott Vamc Department of Veterans Affairs (VA) Pharmacy 500 N Hwy 89, Prescott, AZ 86313-5001 2006-05-03
1669857975 Prescott Vamc Clinic/Center Highway 264, Mile Post 388, Polacca, AZ 86042-9998 2015-07-28
1184009490 Prescott Vamc Clinic/Center Us Highway 160, Kayenta, AZ 86033-9998 2015-07-28
1891183182 Prescott Vamc Clinic/Center Highway 191 and Hospital Drive, Chinle, AZ 86503-9998 2015-01-08

Office Location

Street Address 33 WEST VISTA DRIVE
City HOLBROOK
State AZ
Zip Code 86025-1844

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548505357 Holbrook Senior Citizens Association Assisted Living Facility 216 Joy Nevin Avenue, Holbrook, AZ 86025 2012-12-05
1053660795 Rainbow Medical Transportation LLC Non-emergency Medical Transport (VAN) 2425 Navajo Boulevard, Holbrook, AZ 86025 2012-09-07
1467695296 Community Bridges, Inc Clinic/Center 995 Hermosa Drive, Holbrook, AZ 86025 2009-04-09
1932381738 Valerie Ann Roanhorse Speech-Language Pathologist 294 West Carlos, Holbrook, AZ 86025 2007-12-04
1336224195 Clarence H Hansen Dentist 407 E Iowa, Holbrook, AZ 86025 2006-10-27
1538266895 Janelle Marie Golden Speech-Language Pathologist 294 W. Carlos, Special Services Consortium, Holbrook, AZ 86025 2006-09-20
1306960422 North Country Healthcare, Inc. Clinic/Center 2109 Navajo Blvd, Holbrook, AZ 86025 2007-03-16
1881760155 Jason D Lyman Dentist 407 E Iowa, Holbrook, AZ 86025 2006-11-28
1932294543 Christina Lynn Say Physical Therapist 294 W. Carlos, Holbrook, AZ 86025 2006-10-03
1306937297 Rainbow Accommodation School Local Education Agency (LEA) 294 W. Carlos, Holbrook, AZ 86025 2006-09-27
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Taxonomy Information

Taxonomy Code 261QV0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization VA

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013457704 Tucson Vamc Clinic/Center 1179 E Cottonwood Lane, Suite 1, Casa Grande, AZ 85122-2969 2017-03-01
1104366897 Tucson Vamc Clinic/Center 157 North Coronado Drive, Suite B, Sierra Vista, AZ 85635-6361 2017-03-01
1619352077 Phoenix Vamc Clinic/Center 1500 East Thomas Road, Suite 106, Phoenix, AZ 85014-5748 2015-07-28
1356739650 Prescott Vamc Clinic/Center 801 North Navajo Drive, Suite B, Page, AZ 86040-9998 2015-01-08
1265785364 Phoenix Vamc Clinic/Center 11390 East Via Linda Road, Suite 105, Scottsdale, AZ 85259-4075 2012-10-26
1033345624 Phoenix Vamc Clinic/Center 9424 N 25th Ave, Phoenix, AZ 85021-2714 2009-06-09
1811176530 Cthvamc Clinic/Center 239 W Utopia Rd, Phoenix, AZ 85027-4738 2007-10-30
1952345076 Prescott Vamc Clinic/Center 1300 W University Ave, #200, Flagstaff, AZ 86001-7214 2006-06-16
1235173931 Tucson Vamc Clinic/Center 101 N Coronado Dr Ste A, Building 45006, Sierra Vista, AZ 85635-6359 2006-06-15
1649219528 Tucson Vamc Clinic/Center 3111 S 4th Ave, Yuma, AZ 85364-8122 2006-06-06
Find all providers with the same taxonomy

Competitor

Search similar providers

City HOLBROOK
Zip Code 86025

Improve Information

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Dataset Information

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.

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