AMARILLO VAMC (NPI# 1629022520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629022520 |
| Entity Type | Organization |
| Organization Name | AMARILLO VAMC |
| Other Organization Name | CHILDRESS VA CLINIC |
| Practice Address |
1001 Us Highway 83 N Childress TX 79201-2322 |
| Mailing Address |
Po Box 94400 Cleveland OH 44101-4400 |
| Practice Telephone | 6153553451 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2017-10-06 |
| 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 |
|---|---|
| CHILDRESS VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225072424 | Amarillo Vamc | Clinic/Center | 325 Denver Ave, Dalhart, TX 79022-2711 | 2006-06-16 |
| 1821040957 | Amarillo Vamc | Clinic/Center | 921 E Llano Estacado Blvd, Clovis, NM 88101-3807 | 2006-05-17 |
| 1225087794 | Amarillo Vamc | General Acute Care Hospital | 6010 W Amarillo Blvd, Amarillo, TX 79106-1990 | 2006-05-10 |
| 1750339636 | Amarillo Vamc | Department of Veterans Affairs (VA) Pharmacy | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2006-05-04 |
| 1235197658 | Amarillo Vamc | Department of Veterans Affairs (VA) Pharmacy | 6010 W Amarillo Blvd, Amarillo, TX 79106-1990 | 2006-05-03 |
| 1790746188 | Amarillo Vamc | Clinic/Center | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2006-03-28 |
| Street Address |
1001 US HIGHWAY 83 N |
| City | CHILDRESS |
| State | TX |
| Zip Code | 79201-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043845795 | Carley Brandon | Nurse Practitioner | 1001 Us Highway 83 N, Childress, TX 79201-2322 | 2020-03-03 |
| 1962945451 | Lauren Ashley Bratton | Nurse Practitioner | 1001 Us Highway 83 N, Childress, TX 79201 | 2016-12-01 |
| 1952771446 | Jessica Boedeker | Nurse Practitioner | 1001 Us Highway 83 N, Childress, TX 79201-2322 | 2015-09-28 |
| 1952799249 | David Bratton | Social Worker | 1001 Us Highway 83 N, Childress, TX 79201-2322 | 2015-01-08 |
| 1972915775 | Keri Jo Wellborn | Family Medicine | 1001 Us Highway 83 N, Childress, TX 79201-2322 | 2014-05-28 |
| 1053721910 | Kimberly Hagar | Family Medicine | 1001 Us Highway 83 N, Childress, TX 79201-2322 | 2014-04-30 |
| 1649533969 | David Craig Schaefer | Family Medicine | 1001 Us Highway 83 N, Childress, TX 79201-2322 | 2012-06-21 |
| 1124384342 | Meagan Orene Jarboe Husband | Family Medicine | 1001 Us Highway 83 N, Childress, TX 79201-2322 | 2012-04-02 |
| 1780971119 | Deane Nicole Crim | Physician Assistant | 1001 Us Highway 83 N, Childress, TX 79201-2322 | 2011-07-06 |
| 1386962892 | Nicholas Souder, Md, P.a. | Orthopaedic Surgery | 1001 Us Highway 83 N, Childress, TX 79201-2322 | 2010-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013567684 | Amie Hope Thomas | Counselor | 132 N Main St Ste D, Childress, TX 79201 | 2019-09-16 |
| 1710465182 | Tara Sims | Counselor | 101 Avenue C Ne, Childress, TX 79201 | 2018-07-30 |
| 1013391242 | Amanda Jo Browning Tucker | Optometrist | 707 Avenue F Nw, Childress, TX 79201 | 2015-07-17 |
| 1811332257 | Childress Outpost Pharmacy Inc | Pharmacy | 805 Hwy 83 N., Childress, TX 79201 | 2013-04-29 |
| 1700196748 | Cheryl Lynn Gary | Nurse Practitioner | 901 Hwy 83, Childress, TX 79201 | 2010-10-08 |
| 1205093341 | Dr Lendon Davis | Optometrist | 500 2nd St Ne, Childress, TX 79201 | 2008-05-16 |
| 1871777805 | Aimee Bowman | Physical Therapist | 901 Hwy 83 North, Childress, TX 79201 | 2007-12-27 |
| 1386726628 | Joseph Steele | Anesthesiology | 901 Highway 83 North, Childress, TX 79201 | 2006-10-19 |
| 1235220880 | Peter N Jones | Nurse Practitioner | 1001 Us Hwy 83 N, Childress, TX 79201 | 2006-09-27 |
| 1174625362 | Childress County Hospital District | Clinic/Center | 910 Rear Oak Lane, Childress, TX 79201 | 2006-09-01 |
| Find all providers in zip 79201 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241711 | Houston Vamc | Clinic/Center | 1327 Lake Pointe Pkwy Ste 520, Sugar Land, TX 77478-4096 | 2020-09-29 |
| 1720605629 | El Paso Vamc | Clinic/Center | 5229 Sanders Ave, El Paso, TX 79924-6409 | 2020-06-26 |
| 1427671627 | San Antonio Vamc | Clinic/Center | 16019 Nacogdoches Rd Ste 101, San Antonio, TX 78247-1128 | 2020-05-21 |
| 1568097491 | El Paso Vamc | Clinic/Center | 1870 Northwestern Drive, El Paso, TX 79912-9998 | 2020-03-11 |
| 1902444607 | El Paso Vamc | Clinic/Center | 350 Revere Street, El Paso, TX 79905-9998 | 2019-12-13 |
| 1982178190 | El Paso Vamc | Clinic/Center | 1250b E Cliff Dr, El Paso, TX 79902-4823 | 2019-01-22 |
| 1508313149 | Dallas Vamc | Clinic/Center | 3804 West 15th Street, Suite 175, Plano, TX 75075-4752 | 2016-09-01 |
| 1194180406 | San Antonio Vamc | Clinic/Center | 526 E Court St, Seguin, TX 78155-5712 | 2015-12-31 |
| 1649645672 | Dallas Vamc | Clinic/Center | 1518 E Lancaster Avenue, Suite A, Fort Worth, TX 76102-6775 | 2015-12-02 |
| 1073998431 | Dallas Vamc | Clinic/Center | 4900 S Lancaster Rd, Dallas, TX 75216-7402 | 2015-07-28 |
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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.