MINNEAPOLIS VAMC (NPI# 1639615149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639615149 |
| Entity Type | Organization |
| Organization Name | MINNEAPOLIS VAMC |
| Other Organization Name | MANKATO VA CLINIC |
| Practice Address |
1961 Premier Drive Mankato MN 56001-6492 |
| Mailing Address |
Po Box 94459 Cleveland OH 44101-4459 |
| Practice Telephone | 9135784409 |
| Mailing Telephone | 9135784409 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-12-14 |
| 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 |
|---|---|
| MANKATO VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073094884 | Minneapolis Vamc | Clinic/Center | 720 E Miners Dr, Ely, MN 55731-1400 | 2018-08-29 |
| 1609283845 | Minneapolis Vamc | Clinic/Center | 1201 Harmon Pl, Suite 103, Minneapolis, MN 55403-2043 | 2014-07-21 |
| 1932529351 | Minneapolis Vamc | Clinic/Center | 1111 Shakopee Town Sq, Shakopee, MN 55379-1908 | 2014-04-24 |
| 1912206228 | Minneapolis Vamc | Clinic/Center | 7545 Civic Center Dr Nw, Ramsey, MN 55303-5196 | 2011-03-25 |
| 1235320912 | Minneapolis Vamc | Clinic/Center | 10369 State Highway 27, Hayward, WI 54843-9998 | 2007-08-07 |
| 1518905074 | Minneapolis Vamc | Clinic/Center | 1212 Heckman Ct, Saint James, MN 56081-8702 | 2006-06-04 |
| 1790723716 | Minneapolis Vamc | Clinic/Center | 3551 Commercial Dr Sw Ste 400, Rochester, MN 55902-2884 | 2006-06-03 |
| 1659328292 | Minneapolis Vamc | Clinic/Center | 1725 Legacy Parkway, Suite 100, Maplewood, MN 55109-5432 | 2006-05-28 |
| 1902851348 | Minneapolis Vamc | Clinic/Center | 990 W 41st St, Suite 5, Hibbing, MN 55746-3045 | 2006-05-24 |
| 1417902941 | Minneapolis Vamc | Clinic/Center | 475 Chippewa Mall Drive, Suite 418, Chippewa Falls, WI 54729-5047 | 2006-05-23 |
| Street Address |
1961 PREMIER DRIVE |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-6492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073094884 | Minneapolis Vamc | Clinic/Center | 720 E Miners Dr, Ely, MN 55731-1400 | 2018-08-29 |
| 1609283845 | Minneapolis Vamc | Clinic/Center | 1201 Harmon Pl, Suite 103, Minneapolis, MN 55403-2043 | 2014-07-21 |
| 1932529351 | Minneapolis Vamc | Clinic/Center | 1111 Shakopee Town Sq, Shakopee, MN 55379-1908 | 2014-04-24 |
| 1912206228 | Minneapolis Vamc | Clinic/Center | 7545 Civic Center Dr Nw, Ramsey, MN 55303-5196 | 2011-03-25 |
| 1346437944 | Fargo Vamc | Clinic/Center | 1217 Anne St Nw, Bemidji, MN 56601-5113 | 2007-09-27 |
| 1518905074 | Minneapolis Vamc | Clinic/Center | 1212 Heckman Ct, Saint James, MN 56081-8702 | 2006-06-04 |
| 1790723716 | Minneapolis Vamc | Clinic/Center | 3551 Commercial Dr Sw Ste 400, Rochester, MN 55902-2884 | 2006-06-03 |
| 1659328292 | Minneapolis Vamc | Clinic/Center | 1725 Legacy Parkway, Suite 100, Maplewood, MN 55109-5432 | 2006-05-28 |
| 1902851348 | Minneapolis Vamc | Clinic/Center | 990 W 41st St, Suite 5, Hibbing, MN 55746-3045 | 2006-05-24 |
| 1407809478 | Fargo Vamc | Clinic/Center | 1821 N Park St, Fergus Falls Va Outpatient Clinic, Fergus Falls, MN 56537-1247 | 2006-05-18 |
| 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.