SALT LAKE CITY VAMC (NPI# 1659980316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659980316 |
Entity Type | Organization |
Organization Name | SALT LAKE CITY VAMC |
Practice Address |
2380 N 400 E Ste G North Logan UT 84341-1769 |
Mailing Address |
Po Box 94463 Cleveland OH 44101-4463 |
Practice Telephone | 9135784409 |
Practice Fax Number | 9135784536 |
Mailing Telephone | 9135784409 |
Mailing Fax Number | 9135784536 |
Enumeration Date | 2020-07-29 |
Last Update Date | 2020-07-29 |
Authorized Official Name | ERIN DENISE 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 |
---|---|
NORTH LOGAN VA CLINIC | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124419551 | Salt Lake City Vamc | Clinic/Center | 189 S 600 W, Suite B, Price, UT 84501-2833 | 2015-02-06 |
1295126621 | Salt Lake City Vamc | Clinic/Center | 2719 Argent Avenue, Suite 9, Elko, NV 89801-8443 | 2015-02-06 |
1124062898 | Salt Lake City Vamc | Clinic/Center | 245 W 200 N, Roosevelt, UT 84066-2740 | 2006-06-15 |
1184664559 | Salt Lake City Vamc | Clinic/Center | 230 N 1680 E, Building N, St George, UT 84790-2579 | 2006-06-07 |
1093753675 | Salt Lake City Vamc | Clinic/Center | 774 S State St, Orem, UT 84058-6308 | 2006-06-03 |
1356812655 | Salt Lake City Vamc | Clinic/Center | 5957 Fashion Point Dr, South Ogden, UT 84403-5180 | 2018-12-12 |
1497146823 | Salt Lake City Vamc | Clinic/Center | 640 S Woodruff Ave, Idaho Falls, ID 83401-5299 | 2015-02-06 |
1619113115 | Salt Lake City Vamc | Clinic/Center | 2750 S 5600 W, West Valley City, UT 84120-1249 | 2009-01-05 |
1407894868 | Salt Lake City Vamc | Clinic/Center | 982 Chambers St, South Ogden, UT 84403-4571 | 2006-06-04 |
1487691002 | Salt Lake City Vamc | Clinic/Center | 500 S 11th Ave, Pocatello, ID 83201-4835 | 2006-06-01 |
Street Address |
2380 N 400 E STE G |
City | NORTH LOGAN |
State | UT |
Zip Code | 84341-1769 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
Find all providers in zip 84341 |
Taxonomy Code | 261QV0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | VA |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124419551 | Salt Lake City Vamc | Clinic/Center | 189 S 600 W, Suite B, Price, UT 84501-2833 | 2015-02-06 |
1124062898 | Salt Lake City Vamc | Clinic/Center | 245 W 200 N, Roosevelt, UT 84066-2740 | 2006-06-15 |
1184664559 | Salt Lake City Vamc | Clinic/Center | 230 N 1680 E, Building N, St George, UT 84790-2579 | 2006-06-07 |
1093753675 | Salt Lake City Vamc | Clinic/Center | 774 S State St, Orem, UT 84058-6308 | 2006-06-03 |
1356812655 | Salt Lake City Vamc | Clinic/Center | 5957 Fashion Point Dr, South Ogden, UT 84403-5180 | 2018-12-12 |
1538550959 | Grand Junction Vamc | Clinic/Center | 702 S Main St, Suite 5b, Moab, UT 84532-2943 | 2015-02-06 |
1619113115 | Salt Lake City Vamc | Clinic/Center | 2750 S 5600 W, West Valley City, UT 84120-1249 | 2009-01-05 |
1407894868 | Salt Lake City Vamc | Clinic/Center | 982 Chambers St, South Ogden, UT 84403-4571 | 2006-06-04 |
City | NORTH LOGAN |
Zip Code | 84341 |
Please comment or provide details below to improve the information on SALT LAKE CITY 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.