MEMPHIS VAMC


Address: 1030 Jefferson Ave, Memphis, TN 38104-2127
Phone: 9015238990

MEMPHIS VAMC (NPI# 1659667996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659667996
Entity Type Organization
Organization Name MEMPHIS VAMC
Practice Address 1030 Jefferson Ave
Memphis
TN 38104-2127
Practice Telephone 9015238990
Mailing Telephone 9015238990
Enumeration Date 2011-06-24
Last Update Date 2011-06-24
Authorized Official Name JAMES WILLIAMSON (OPTOMETRIST/RESIDENCY DIRECTOR)
Authorized Official Telephone 9015235366
Authorized Official Credential OD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 286500000X Military Hospital Hospitals

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1649401316 Memphis Vamc Clinic/Center 125 Quarles Ln, West Helena, AR 72390-1923 2009-07-29
1205072436 Memphis Vamc Clinic/Center 180 Old Hickory Blvd, Suite A, Jackson, TN 38305-2562 2008-12-17
1073552436 Memphis Vamc Clinic/Center 1114 Commonwealth Blvd., Tupelo, MS 38804-9998 2006-06-04
1619923398 Memphis Vamc Clinic/Center 2908 S Caraway Rd Ste B, Jonesboro, AR 72401-7306 2006-05-25
1669427050 Memphis Vamc Clinic/Center 70 Harbert Dr, Savannah, TN 38372-2333 2006-05-23
1194778357 Memphis Vamc Clinic/Center 1700 Crescent Meadows, Holly Springs, MS 38635-7414 2006-05-18
1154374726 Memphis Vamc Clinic/Center 3461 Austin Peay Hwy, Memphis, TN 38128-3801 2006-05-17
1326436452 Memphis Vamc Clinic/Center 1407 Union Ave, 11th Floor, Memphis, TN 38104-3627 2014-12-23
1356572010 Memphis Vamc Clinic/Center 1067 Vendall Rd, Dyersburg, TN 38024-1622 2009-07-29
1134370885 Memphis Vamc Clinic/Center 154 Mt. Pleasant Road, Mount Pleasant, MS 38635-9332 2008-09-30

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities MEMPHIS VAMC 1030 Jefferson Ave, Memphis, TN 38104-2127

Office Location

Street Address 1030 JEFFERSON AVE
City MEMPHIS
State TN
Zip Code 38104-2127

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982697025 Katherine Denton Sanford Optometrist 1030 Jefferson Ave, Mail Code 112d, Memphis, TN 38104-2127 2005-08-24
1528667938 Mckenzie Bahl Recreation Therapist 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-10-19
1427656834 Phillip David Resuggan Music Therapist 1030 Jefferson Ave, Memphis, TN 38104-2193 2020-10-16
1962009159 Rachel Diann Roberts Nurse Anesthetist, Certified Registered 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-10-01
1225643018 Melanie Warren Nurse Practitioner 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-09-09
1942828892 Brady Cole Pharmacist 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-07-08
1457978595 Mariko Thel Pharmacist 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-07-05
1215554910 Weston Paul Keen Pharmacy 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-06-29
1225655236 Rebecca Fong Pharmacist 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-06-26
1225653660 Brandy Hollums Pharmacist 1030 Jefferson Ave, Memphis, TN 38104-2127 2020-06-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952900367 Christy White Recreation Therapist 1030 Jefferson Ave (rt117), Memphis, TN 38104 2020-10-19
1821615873 Altiana Carter Optometrist 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 2020-06-25
1952898413 Family To Family Adult Care Service Chore Provider 1331 Union Ave Suite 1028, Mempnis, TN 38104 2018-04-19
1326544800 Kimberly Vestoria Mcclinton Nurse Practitioner 2200 Union Ave 1, Memphis, TN 38104 2018-04-03
1649799339 Benjamin Duhart Jr. Pharmacist 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 2017-09-13
1134644982 Amy Michelle Wise Nurse Practitioner 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 2017-08-13
1316468572 Jinger Cathey Social Worker 1330 Jefferson Ave, Memphis, TN 38104 2017-06-28
1336669183 Charma May Kavuncu Social Worker 1407 Union Ave Ste 1100, Memphis, TN 38104 2017-06-22
1003345398 Angelica J Dennis Nurse Practitioner 1265 Union, Memphis, TN 38104 2017-06-08
1609302546 Cheryl Beene Nurse Practitioner 1211 Union Ave Ste 475, Memphis, TN 38104 2017-05-11
Find all providers in zip 38104

Taxonomy Information

Taxonomy Code 286500000X
Grouping Hospitals
Classification Military Hospital

Taxonomy Definition

A health care facility operated by the Department of Defense.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346302494 Eisenhower Army Medical Center Military Hospital 3395 Highland Park Pl, Memphis, TN 38111-4744 2006-12-15
1629226550 Sonya Applewhite Military Hospital 1030 Jefferson Ave, Memphis, TN 38104-2127 2008-09-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750571261 Mary Ittner Military Hospital 1002 Hillshire Dr, Clarksville, TN 37043-2106 2007-07-31
1518188572 Department of Veterans Affairs Military Hospital 4625 Shadow Valley Ln, Arlington, TN 38002-4776 2007-05-01
1568477990 Department of Veterans Affairs Nashville Military Hospital 1310 24th Ave S, Nashville, TN 37212-2637 2006-07-31

Competitor

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City MEMPHIS
Zip Code 38104

Improve Information

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Dataset Information

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.

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