COLUMBIA VAMC (NPI# 1588617815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588617815 |
| Entity Type | Organization |
| Organization Name | COLUMBIA VAMC |
| Other Organization Name | FLORENCE VA CLINIC |
| Practice Address |
1822 Sally Hill Farms Blvd Florence SC 29501-6987 |
| Mailing Address |
Po Box 89478 Cleveland OH 44101-6478 |
| Practice Telephone | 8282572333 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2018-04-17 |
| 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 |
|---|---|
| FLORENCE VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972542983 | Columbia Vamc | Clinic/Center | 407 N Salem Ave, Sumter, SC 29150-4115 | 2006-06-05 |
| 1215988480 | Columbia Vamc | Clinic/Center | 1702 E Greenville St, Anderson, SC 29621-2009 | 2006-05-13 |
| 1265490155 | Columbia Vamc | Department of Veterans Affairs (VA) Pharmacy | 41 Park Creek Drive, Greenville, SC 29605-4270 | 2006-05-02 |
| 1053786228 | Columbia Vamc | Clinic/Center | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2015-12-14 |
| 1861643181 | Columbia Vamc | Clinic/Center | 279 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2008-10-06 |
| 1104865211 | Columbia Vamc | Clinic/Center | 41 Park Creek Dr, Greenville, SC 29605-4270 | 2006-06-05 |
| 1649218579 | Columbia Vamc | Clinic/Center | 2670 Mills Park Dr, Rock Hill, SC 29732-8599 | 2006-06-03 |
| 1912945593 | Columbia Vamc | Clinic/Center | 1767 Village Park Dr, Orangeburg, SC 29118-2475 | 2006-06-03 |
| 1578514030 | Columbia Vamc | General Acute Care Hospital | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2006-05-12 |
| 1104884014 | Columbia Vamc | Department of Veterans Affairs (VA) Pharmacy | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2006-05-02 |
| Street Address |
1822 SALLY HILL FARMS BLVD |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501-6987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962988691 | Gini G Moore | Nurse Practitioner | 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 | 2018-07-16 |
| 1457739344 | Kenzie Hackett | Pharmacist | 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 | 2015-05-11 |
| 1659705994 | Diane Wininger | Psychologist | 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 | 2013-08-22 |
| 1548502131 | Patrick Weiyun Fong | Internal Medicine | 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 | 2013-03-21 |
| 1851697825 | Amy Phillips Smith | Psychologist | 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 | 2011-02-08 |
| 1982904074 | Kathryn Lee Walker | Registered Nurse | 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 | 2010-10-24 |
| 1831405992 | Jillian Nicole Wilkes | Pharmacist | 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 | 2010-08-27 |
| 1679712954 | Al Coldtrain | Counselor | 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 | 2009-02-11 |
| 1285747162 | Eric P. Naumann | Family Medicine | 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 | 2006-08-16 |
| 1417964685 | C. Bliss Webb | Family Medicine | 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
| 1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| Find all providers in zip 29501 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952458960 | Cincinnati Vamc | Clinic/Center | 7310 Turfway Road, Suite 510, Florence, KY 41042-1385 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083099444 | Charleston Vamc | Clinic/Center | 2424 City Hall Lane, North Charleston, SC 29406-9998 | 2015-07-28 |
| 1306014113 | Augusta Vamc | Clinic/Center | 950 Millbrook Ave, Aiken, SC 29803-0602 | 2008-02-14 |
| 1972542983 | Columbia Vamc | Clinic/Center | 407 N Salem Ave, Sumter, SC 29150-4115 | 2006-06-05 |
| 1215988480 | Columbia Vamc | Clinic/Center | 1702 E Greenville St, Anderson, SC 29621-2009 | 2006-05-13 |
| 1053786228 | Columbia Vamc | Clinic/Center | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2015-12-14 |
| 1164810297 | Charleston Vamc | Clinic/Center | 1101 Johnson Ave, Suite R-2a, Myrtle Beach, SC 29577-1893 | 2014-12-23 |
| 1255729398 | Charleston Vamc | Clinic/Center | 9229 University Blvd, North Charleston, SC 29406-9150 | 2014-12-23 |
| 1437566528 | Charleston Vamc | Clinic/Center | 9237 University Blvd, North Charleston, SC 29406-9189 | 2014-07-21 |
| 1861643181 | Columbia Vamc | Clinic/Center | 279 N Grove Medical Park Dr, Spartanburg, SC 29303-4222 | 2008-10-06 |
| 1235286741 | Charleston Vamc | Clinic/Center | 2418 Nnptc Circle, Goose Creek, SC 29445-9998 | 2007-01-05 |
| 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.