RICHARD L. ROUDEBUSH VA MEDICAL CENTER (NPI# 1679687503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679687503 |
| Entity Type | Organization |
| Organization Name | RICHARD L. ROUDEBUSH VA MEDICAL CENTER |
| Practice Address |
3602 E Michigan St Indianapolis IN 46201-3466 |
| Mailing Address |
12306 Blue Springs Ln Fishers IN 46037-4053 |
| Practice Telephone | 3179882623 |
| Mailing Telephone | 3175769867 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. NICOLE MADOU (SOCIAL WORKER) |
| Authorized Official Telephone | 3179882623 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912340365 | Richard L. Roudebush Va Medical Center | Military Hospital | 4601 E Centennial Ave, Muncie, IN 47303-2610 | 2013-04-15 |
| 1831331800 | Richard L. Roudebush Va Medical Center | General Acute Care Hospital | 1816 Larkfield Ct Apt 563, Indianapolis, IN 46260-2562 | 2009-04-06 |
| 1265608111 | Richard L. Roudebush Va Medical Center | Military Hospital | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2008-05-01 |
| Street Address |
3602 E MICHIGAN ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46201-3466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457876575 | Alyssia Hawthorne | Contractor | 810 N Bosart, Indianapolis, IN 46201 | 2017-08-09 |
| 1710221833 | Candace D Clayton | Specialist/Technologist | 1500 E. Michigan St, Arsenal Tech West Gym Atr, Indianapolis, IN 46201 | 2012-11-15 |
| 1427211739 | Vanessa Antonie Flora | Physical Therapist | 1001 W 10th Street, Indianapolis, IN 46201 | 2008-07-07 |
| 1194993642 | Steve C. Linville | Counselor | 5049 E. 11th Street, Indianapolis, IN 46201 | 2008-02-19 |
| 1336355023 | Brenda Gay Barker | Family Medicine | 11 N Eastern Avenue, Good Samaritan Health Clinic, Indianapolis, IN 46201 | 2007-05-16 |
| 1447541347 | Kimberly Denise Wolfe | Registered Nurse | 1776 Brookside Ave, Indianapolis, IN 46201-1018 | 2011-04-26 |
| 1235645318 | Armaryllis Y Lewis | Counselor | 1402 Commerce Ave, Indianapolis, IN 46201-1141 | 2017-12-27 |
| 1184160608 | Sarah Ann Battista | Registered Nurse | 1250 N State Ave, Indianapolis, IN 46201-1162 | 2017-01-07 |
| 1821330234 | Kindra Marie Hunckler | Doula | 1115 N Tacoma Ave, Indianapolis, IN 46201-1334 | 2013-03-24 |
| 1497279897 | Timothy Barnes | Respite Care | 1406 N Dearborn St, Indianapolis, IN 46201-1412 | 2017-07-28 |
| Find all providers in zip 46201 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558488510 | Angela Beaver | Military Hospital | 5300 W 96th St, Indianapolis, IN 46268-3905 | 2007-03-23 |
| 1073940664 | University Medical Diagnostic Associates | Military Hospital | 430 Indiana Ave, Apt 138, Indianapolis, IN 46202-3275 | 2013-09-27 |
| 1922262872 | Department of Veterans Affairs | Military Hospital | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2008-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912340365 | Richard L. Roudebush Va Medical Center | Military Hospital | 4601 E Centennial Ave, Muncie, IN 47303-2610 | 2013-04-15 |
| 1346262813 | Dayton Va | Military Hospital | 4351 So. A, Richmond, IN 47374-6052 | 2006-07-24 |
| 1902915440 | Va Hospital | Military Hospital | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2006-08-29 |
| City | INDIANAPOLIS |
| Zip Code | 46201 |
Please comment or provide details below to improve the information on RICHARD L. ROUDEBUSH VA MEDICAL CENTER.
| 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.