PRESCOTT VAMC (NPI# 1558759837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| HOLBROOK VA OOS | Other Name - Individual/Organization |
| 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 |
| Street Address |
33 WEST VISTA DRIVE |
| City | HOLBROOK |
| State | AZ |
| Zip Code | 86025-1844 |
| 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 |
| Find all providers in zip 86025 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| 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 | ||||
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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.