VETERANS HEALTH ADMINISTRATION (NPI# 1578871687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578871687 |
| Entity Type | Organization |
| Organization Name | VETERANS HEALTH ADMINISTRATION |
| Practice Address |
104 Alex Ln Charleston WV 25304-2952 |
| Practice Telephone | 3049266001 |
| Practice Fax Number | 3044290287 |
| Mailing Telephone | 3049266001 |
| Mailing Fax Number | 3044290287 |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2010-09-23 |
| Authorized Official Name | MS. PATIENCE RENEE LAND (CLINICAL SOCIAL WORKER) |
| Authorized Official Telephone | 3049266001 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
DP00942744 | WV | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134679798 | Veterans Health Administration | Clinic/Center | 1 Med Center Dr, Clarksburg, WV 26301-4155 | 2016-10-07 |
| 1619422052 | Veterans Health Administration | Clinic/Center | 2141 E Camelback Rd, Suite 210, Phoenix, AZ 85016-4764 | 2016-08-15 |
| 1881074003 | Veterans Health Administration | General Acute Care Hospital | 1515 W Pleasant St, Knoxville, IA 50138-3399 | 2015-06-03 |
| 1902141443 | Veterans Health Administration | Special Hospital | 1600 S Columbian Way, Seattle, WA 98108-1565 | 2012-12-11 |
| 1457521809 | Veterans Health Administration | Long Term Care Hospital | 619 S Marion Ave, Lake City, FL 32025-5808 | 2008-03-01 |
| 1174617468 | Veterans Health Administration | Clinic/Center | 1400 Tod Ave Nw, Warren, OH 44485-2483 | 2006-10-03 |
| 1245297720 | Veterans Health Administration | Clinic/Center | 2900 Veterans Way, Viera, FL 32940-8007 | 2006-04-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VETERANS HEALTH ADMINISTRATION | 2101 Elm St, Fargo, ND 58102-2417 |
| System for Award Management (SAM) Entities | VETERANS HEALTH ADMINISTRATION CANANDAIGUA | 400 Fort Hill Ave, Canandaigua, NY 14424-1159 |
| Street Address |
104 ALEX LN |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25304-2952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700837473 | Samuel Everett Carroll | Family Medicine | 104 Alex Ln, Charleston, WV 25304-2952 | 2006-05-15 |
| 1659492007 | Renee Marie Pastora | Rehabilitation Counselor | 104 Alex Ln, Charleston, WV 25304-2952 | 2007-04-03 |
| 1730111915 | Julia E Mccown | Social Worker | 104 Alex Ln, Charleston, WV 25304-2952 | 2006-07-07 |
| 1932138336 | Kevin Todd Landers | Pharmacist | 104 Alex Ln, Charleston, WV 25304-2952 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893908 | Sade Yvonne Rice | Technician | 392 B South Parkd Rd, Charleston, WV 25304 | 2020-08-27 |
| 1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
| 1649807603 | Jasmine Shah | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 | 2020-03-26 |
| 1447811872 | Kwasi Amponsah Gambrah | Student in an Organized Health Care Education/Training Program | 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 | 2019-06-26 |
| 1457916751 | Divya Kalluru | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 | 2019-05-02 |
| 1841854965 | Sean Michael Percy Losier | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 | 2019-04-24 |
| 1700440047 | Priyanka Chowdhry | Student in an Organized Health Care Education/Training Program | Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 | 2019-04-23 |
| 1568925469 | Saranya Dinesan | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 | 2019-04-09 |
| 1043771694 | Mary Elizabeth Novak | Student in an Organized Health Care Education/Training Program | Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 | 2019-03-27 |
| 1124518600 | Abdullah Sohail | Student in an Organized Health Care Education/Training Program | 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 | 2018-05-10 |
| Find all providers in zip 25304 | ||||
| Taxonomy Code | 2865M2000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| Specialization | Military General Acute Care Hospital |
| A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as "pass-through" items. |
| Notes: [1/1/2005: title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851544597 | Va Medical Center | Military Hospital | 1540 Spring Valley Dr, Huntington, WV 25704-9300 | 2008-10-28 |
| City | CHARLESTON |
| Zip Code | 25304 |
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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.