MONTGOMERY VAMC (NPI# 1679526131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679526131 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY VAMC |
| Other Organization Name | DOTHAN VA CLINIC |
| Practice Address |
2020 Alexander Dr Dothan AL 36301-3004 |
| Mailing Address |
Po Box 89470 Cleveland OH 44101-6470 |
| Practice Telephone | 8282573777 |
| Mailing Telephone | 8282572333 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2018-04-12 |
| 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 |
|---|---|
| DOTHAN VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265898670 | Montgomery Vamc | Department of Veterans Affairs (VA) Pharmacy | 801 Veterans Way, Montgomery, AL 36117-9998 | 2016-01-14 |
| 1982074720 | Montgomery Vamc | Clinic/Center | 6635 Bass Road, Bldg. 9214, Fort Benning, GA 31905-9998 | 2015-10-06 |
| 1255383311 | Montgomery Vamc | Clinic/Center | 1310 13th Ave, Columbus, GA 31901-2335 | 2006-05-17 |
| 1255389730 | Montgomery Vamc | Department of Veterans Affairs (VA) Pharmacy | 2400 Hospital Road, Tuskegee, AL 36083-5001 | 2006-05-05 |
| 1801854146 | Montgomery Vamc | Department of Veterans Affairs (VA) Pharmacy | 215 Perry Hill Road, Montgomery, AL 36109-3725 | 2006-05-03 |
| 1942665278 | Montgomery Vamc | Clinic/Center | 8105 Veterans Way, Montgomery, AL 36117-9998 | 2015-12-31 |
| 1518355650 | Montgomery Vamc | Clinic/Center | 3753 Ross Clark Circle, Suite 4, Dothan, AL 36303-2291 | 2014-12-23 |
| 1063755668 | Montgomery Vamc | Clinic/Center | 159 Whetstone St, Monroeville, AL 36460-2625 | 2013-04-02 |
| 1790015402 | Montgomery Vamc | Clinic/Center | 301 Andrews Avenue, Ft. Rucker, AL 36362-7836 | 2009-12-31 |
| 1497809289 | Montgomery Vamc | Clinic/Center | 3753 Ross Clark Cir, Suite 4, Dothan, AL 36303-2295 | 2007-01-22 |
| Street Address |
2020 ALEXANDER DR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871826800 | Ronnie Nathan Taylor | Pharmacist | 2020 Alexander Dr, Dothan, AL 36301-3004 | 2009-09-09 |
| 1508957499 | Melissa Ann Taylor | Nurse Practitioner | 2020 Alexander Dr, Dothan, AL 36301-3004 | 2006-09-27 |
| 1588764237 | Sherry Demonbreun Creel | Physician Assistant | 2020 Alexander Dr, Dothan, AL 36301-3004 | 2006-09-23 |
| 1538267992 | Andy Ellzey Kirk | Family Medicine | 2020 Alexander Dr, Dothan, AL 36301-3004 | 2006-09-20 |
| 1083646210 | Trinette Stanford | Nurse Practitioner | 2020 Alexander Dr, Dothan, AL 36301-3004 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518355650 | Montgomery Vamc | Clinic/Center | 3753 Ross Clark Circle, Suite 4, Dothan, AL 36303-2291 | 2014-12-23 |
| 1497809289 | Montgomery Vamc | Clinic/Center | 3753 Ross Clark Cir, Suite 4, Dothan, AL 36303-2295 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518319052 | Birmingham Vamc | Clinic/Center | 2415 7th Avenue South, Birmingham, AL 35233-3317 | 2016-07-08 |
| 1083961007 | Cindy Arlene Jones | Clinic/Center | 155 Scenic Rd, Jacksonville, AL 36265-8251 | 2012-08-09 |
| 1992024947 | Birmingham Vamc | Clinic/Center | 100 Judy Smith Dr, Guntersville, AL 35976-4500 | 2010-05-28 |
| 1255574729 | Birmingham Vamc | Clinic/Center | 151 9th Ave Nw, Childersburg, AL 35044-1231 | 2009-04-14 |
| 1689618373 | Birmingham Vamc | Clinic/Center | 422 Cox Blvd, Dd, Sheffield, AL 35660-4000 | 2006-06-15 |
| 1003857764 | Biloxi Vamc | Clinic/Center | 4444 Demetropolis Rd, Mobile, AL 36619-9602 | 2006-06-10 |
| 1043250632 | Birmingham Vamc | Clinic/Center | 500 Markaview Road Northwest, Huntsville, AL 35805-3652 | 2006-06-08 |
| 1063450195 | Birmingham Vamc | Clinic/Center | 206 Rescia Ave, Gadsden, AL 35906-5933 | 2006-06-02 |
| 1891741294 | Birmingham Vamc | Clinic/Center | 1454 Jones Dairy Rd, Jasper, AL 35501-6164 | 2006-05-26 |
| 1306897400 | Birmingham Vamc | Clinic/Center | 96 Ali Way, Oxford, AL 36203-1835 | 2006-05-13 |
| 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.