LEBANON VAMC (NPI# 1639117641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639117641 |
| Entity Type | Organization |
| Organization Name | LEBANON VAMC |
| Other Organization Name | WYOMISSING VA CLINIC |
| Practice Address |
2762 Century Blvd Suite 120 Wyomissing PA 19610-3345 |
| Mailing Address |
P.o Box 3001 Lebanon PA 17042-3001 |
| Practice Telephone | 7172776565 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2015-12-07 |
| 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 |
|---|---|
| WYOMISSING VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184012684 | Lebanon Vamc | Clinic/Center | 1 Garrison Rd, Building 4-114 Fort Indiantown Gap, Annville, PA 17003-5061 | 2015-01-06 |
| 1104911379 | Lebanon Vamc | Military Hospital | 1700 Lincoln Ave, Lebanon, PA 17042 | 2006-10-04 |
| 1265489165 | Lebanon Vamc | Clinic/Center | 212 Willow Valley Lakes Dr Ste 208, Willow Street, PA 17584-9668 | 2006-05-27 |
| 1346291937 | Lebanon Vamc | Clinic/Center | 5070 Ritter Rd, Mechanicsburg, PA 17055 | 2006-05-16 |
| 1558558163 | Lebanon Vamc | Clinic/Center | 700 Schuylkill Manor Rd, 2nd Fl Suite 6, Pottsville, PA 17901-3849 | 2007-09-27 |
| 1518901750 | Lebanon Vamc | Clinic/Center | 2251 Eastern Blvd, York, PA 17402-2867 | 2006-06-16 |
| 1124077672 | Lebanon Vamc | Rehabilitation Unit | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2006-05-10 |
| 1578521365 | Lebanon Vamc | Department of Veterans Affairs (VA) Pharmacy | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2006-05-02 |
| Street Address |
2762 CENTURY BLVD SUITE 120 |
| City | WYOMISSING |
| State | PA |
| Zip Code | 19610-3345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992348742 | Grace L Moyer | Licensed Practical Nurse | 2762 Century Blvd, Wyomissing, PA 19610-3345 | 2019-10-24 |
| 1992264675 | Jill Maypole | Registered Nurse | 2762 Century Blvd, Wyomissing, PA 19610-3345 | 2019-03-13 |
| 1225596208 | Janelle Schiffert | Registered Nurse | 2762 Century Blvd, Wyomissing, PA 19610-3345 | 2019-03-08 |
| 1194283127 | Lori Jean Culver | Licensed Practical Nurse | 2762 Century Blvd, Wyomissing, PA 19610-3345 | 2019-03-08 |
| 1982162996 | Terri Ann Harker | Registered Nurse | 2762 Century Blvd, Wyomissing, PA 19610-3345 | 2019-03-08 |
| 1427516467 | Judy Ann Marburger | Licensed Practical Nurse | 2762 Century Blvd, Wyomissing, PA 19610-3345 | 2019-03-08 |
| 1861950990 | Margaret Floriani | Licensed Practical Nurse | 2762 Century Blvd, Wyomissing, PA 19610-3345 | 2019-03-07 |
| 1801354006 | Tracy L Dietrich | Licensed Practical Nurse | 2762 Century Blvd, Wyomissing, PA 19610-3345 | 2019-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
| 1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
| 1932742772 | Kristin Marie Lapp | Social Worker | 1120-c Hobart Ave, Wyomissing, PA 19610 | 2019-10-24 |
| 1396302410 | Susan Cohick | Occupational Therapy Assistant | The Center for Pediatric Therapy Inc, 9 Bristol Ct, Wyomissing, PA 19610 | 2019-05-23 |
| 1518475953 | Safe Care Express Pllc | Clinic/Center | 1802 State Hill Rd, Wyomissing, PA 19610 | 2018-01-19 |
| 1346779733 | Eric Angstadt | Dentist | 85 Commerce Drive, Wyomissing, PW 19610 | 2017-06-08 |
| 1497209761 | Keystone Orthopaedic Specialists,llc | Durable Medical Equipment & Medical Supplies | 2607 Keiser Blvd # 200, Wyomissing, PA 19610 | 2016-08-04 |
| 1104270875 | Heather Claudette Meyer | Hearing Instrument Specialist | 50 Berkshire Ct Ste 250, Wyomissing, PA 19610 | 2016-04-19 |
| 1396125050 | Courtney B. Pursell | Counselor | 716 N. Park Rd., Wyomissing, PA 19610 | 2015-06-08 |
| 1760892012 | Nicole M Robb | Counselor | 17 Evans Ave, Wyomissing, PA 19610 | 2014-05-07 |
| Find all providers in zip 19610 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407316219 | Philadelphia Va Medical Center | Clinic/Center | 6232 Market St Ste 100, Philadelphia, PA 19139-2922 | 2019-03-20 |
| 1184012684 | Lebanon Vamc | Clinic/Center | 1 Garrison Rd, Building 4-114 Fort Indiantown Gap, Annville, PA 17003-5061 | 2015-01-06 |
| 1134517360 | Philadelphia Vamc | Clinic/Center | 4219 Chestnut St, Philadelphia, PA 19104-3014 | 2014-12-22 |
| 1659779254 | Buffalo Vamc | Clinic/Center | 24 Maple View Ln, Suite 2, Coudersport, PA 16915-9527 | 2014-12-12 |
| 1851644967 | Altoona Vamc | Clinic/Center | 13903 William Penn Hwy, Mapleton Depot, PA 17052-9649 | 2012-10-26 |
| 1841340015 | Warren Cboc | Clinic/Center | 3 Farm Colony Dr, Warren, PA 16365-5209 | 2007-01-11 |
| 1184771123 | Pittsburgh Vamc | Clinic/Center | 635 Pittsburgh Rd, Suite 520, Uniontown, PA 15401-2215 | 2007-01-04 |
| 1740224971 | Wilkes Barre Vamc | Clinic/Center | Tobyhanna Army Depot, Bldg 220, Tobyhanna, PA 18466-5002 | 2006-06-16 |
| 1659315380 | Philadelphia Va Clinic | Clinic/Center | 214 North 4th St., 2nd Floor, Philadelphia, PA 19106 | 2006-06-15 |
| 1376585588 | Butler Vamc | Clinic/Center | 11 Hilltop Plz, Kittanning, PA 16201-8905 | 2006-06-12 |
| Find all providers with the same taxonomy | ||||
| City | WYOMISSING |
| Zip Code | 19610 |
Please comment or provide details below to improve the information on LEBANON VAMC.
| 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.